Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | A99977 | CA |
NPI | 1255507489 |
---|---|
Provider Name | Dr. Rowan Victor Paul |
First Address | Palo Alto, CA 94306-1532 |
Second Address | San Francisco, CA 94115-2379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 21/01/2022 |