Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A115958 | CA |
Y | 207PP0204X | Pediatric Emergency Physician | A115958 | CA |
NPI | 1215103023 |
---|---|
Provider Name | Dr. Matthew Paul Murray |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 22/04/2013 |