Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | ME51529 | FL |
N | 2086S0127X | Trauma Surgeon | ME51529 | FL |
NPI | 1124045950 |
---|---|
Provider Name | Dr. Enrique Ginzburg |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 30/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0623041-00 | (05) | FL |
09990 | (02) | FL |
E75904 | (02) | FL |