Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 5810 | NV |
Y | 207RP1001X | Pulmonary Disease | 5810 | NV |
N | 207RS0012X | Sleep Medicine | 5810 | NV |
NPI | 1316996721 |
---|---|
Provider Name | Charles D Mcpherson |
First Address | Las Vegas, NV 89148 |
Second Address | Las Vegas, NV 89148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2002427 | (05) | NV |
E34526 | (02) |