Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD33520 | DC |
N | 208200000X | Surgeon | MD33520 | DC |
N | 208600000X | Surgeon | MD33520 | DC |
NPI | 1508969676 |
---|---|
Provider Name | Arturo Hernandez |
First Address | Washington, DC 20001-3027 |
Second Address | Washington, DC 20060-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 20/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010169950 | (05) | VA |
036801800 | (05) | DC |
407787300 | (05) | MD |
I34775 | (02) |