Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G32102 | CA |
Y | 208600000X | Surgeon | G32102 | CA |
NPI | 1003982232 |
---|---|
Provider Name | Murray Irving Sheldon |
First Address | Martinez, CA 94553 |
Second Address | Martinez, CA 94553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A45008 | (02) |