Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | TRN13667 | FL |
Y | 208600000X | Surgeon | TRN13667 | FL |
NPI | 1003042029 |
---|---|
Provider Name | Afrasyab Khan |
First Address | Peshawar, NWFP 25000 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 04/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TRN13667 | TRN NUMBER (01) | FL |