Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A31458 | CA |
NPI | 1013931971 |
---|---|
Provider Name | Richard Sugar |
First Address | Fresno, CA 93729-8160 |
Second Address | Salinas, CA 93901-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/12/2011 |