Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 12298 | NV |
NPI | 1235338641 |
---|---|
Provider Name | Bishr Hijazi |
First Address | Las Vegas, NV 89118-1111 |
Second Address | Las Vegas, NV 89118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 28/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1235338641 | (05) | NV |
1407028426 | (05) | NV |
V105990 | (02) | NV |