Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 34885 | CA |
NPI | 1932718160 |
---|---|
Provider Name | Dr. Matthew Anthony O'brien |
First Address | Morgan Hill, CA 95037-6820 |
Second Address | Morgan Hill, CA 95037-6820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2020 |
Last Update Date | 23/07/2020 |