Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A69981 | CA |
NPI | 1053303560 |
---|---|
Provider Name | Walter J Ehrman |
First Address | Palm Springs, CA 92263-2230 |
Second Address | Palm Springs, CA 92262-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 31/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A699810 | (05) | CA |
H06535 | (02) |