Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | G136840 | CA |
NPI | 1003896945 |
---|---|
Provider Name | Dr. Timothy Stuart Hinman |
First Address | San Diego, CA 92101-2303 |
Second Address | San Diego, CA 92101-2303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 10/08/2015 |