Russell Hines, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Thousand Oaks, CA

NPI

1548213101

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

G77511 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-17

Last updated

2007-07-08