Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 52434 | AZ |
NPI | 1326219262 |
---|---|
Provider Name | Mr. David Hohuan |
First Address | Richmond, VA 23291-1734 |
Second Address | Yuma, AZ 85364-8875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2008 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
148306 | (05) | AZ |