Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A135368 | CA |
N | 2084N0400X | Neurologist | DR.0053209 | CO |
NPI | 1033422142 |
---|---|
Provider Name | Peter Andreas Michas-Martin |
First Address | Salinas, CA 93902-0480 |
Second Address | Carmel, CA 93923-8684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2010 |
Last Update Date | 18/06/2015 |