Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35062020 | OH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 6179 | NV |
NPI | 1134185457 |
---|---|
Provider Name | Dr. Barry Michael Perlin |
First Address | Las Vegas, NV 89128-7460 |
Second Address | Las Vegas, NV 89106-4119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 22/11/2016 |