| 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 |