Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | P56024 | NY |
N | 208600000X | Surgeon | P56024 | NY |
Y | 2086S0120X | Pediatric Surgery | 28356 | OK |
NPI | 1184873820 |
---|---|
Provider Name | Alejandro Roberto Ruiz-Elizalde |
First Address | Oklahoma City, OK 73104-5047 |
Second Address | Oklahoma City, OK 73104-5047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 19/03/2013 |