Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND125 | CA |
NPI | 1003137431 |
---|---|
Provider Name | Dr. William David Hogg |
First Address | San Jose, CA 95128-3901 |
Second Address | San Jose, CA 95128-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 21/06/2010 |