Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A64132 | CA |
NPI | 1003962796 |
---|---|
Provider Name | Dr. David M Weiner |
First Address | San Diego, CA 92103-8201 |
Second Address | San Diego, CA 92103-8201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 08/07/2007 |