Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | A23938 | CA |
NPI | 1205946001 |
---|---|
Provider Name | Dr. Michael Alexander Heymann |
First Address | Carmel, CA 93922-2437 |
Second Address | Carmel, CA 93923-9600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |