Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | G29840 | CA |
NPI | 1023042942 |
---|---|
Provider Name | Dr. David R Minor |
First Address | San Francisco, CA 94115-2378 |
Second Address | San Francisco, CA 94115-2378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A44185 | (02) |