Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | GFE3700 | CA |
NPI | 1003181587 |
---|---|
Provider Name | Dr. Henry Russell Drinker JR. |
First Address | Saratoga, CA 95070-6136 |
Second Address | Saratoga, CA 95070-6136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2012 |
Last Update Date | 15/03/2012 |