| NPI | 1962511162 |
|---|---|
| Professional Name | K DANE HAWALT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G62030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G62030) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-10-19 |