Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | C30386 | CA |
NPI | 1003351891 |
---|---|
Provider Name | Paul Robinson |
First Address | San Francisco, CA 94122-2777 |
Second Address | San Francisco, CA 94122-2777 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2017 |
Last Update Date | 03/01/2017 |