NPI | 1780679894 |
---|---|
Professional Name | DERRICK L. SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G50178) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G50178) |
208600000X Surgery (Licence: CA G50178) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-09-15 |