Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44863 | WI |
N | 111NI0900X | Internist | 44863 | WI |
Y | 207RA0401X | Internist - Addiction Medicine | 44863 | WI |
NPI | 1144254426 |
---|---|
Provider Name | David Galbis-Reig |
First Address | Racine, WI 53405-1667 |
Second Address | Racine, WI 53405-1667 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 12/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I14016 | (02) |