Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A81051 | CA |
NPI | 1730130287 |
---|---|
Provider Name | Dr. Roy Aaron David |
First Address | La Jolla, CA 92037 |
Second Address | La Jolla, CA 92037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 18/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63418 | (02) | CA |