Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | A83329 | CA |
NPI | 1619111440 |
---|---|
Provider Name | Gabriel Schnickel |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92121-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A833290 | (05) | CA |