Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | G64751 | CA |
NPI | 1396043006 |
---|---|
Provider Name | Dr. Peter Himber |
First Address | Santa Ana, CA 92705 |
Second Address | Santa Ana, CA 92705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2011 |
Last Update Date | 03/03/2011 |