Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 19821 | NV |
N | 208200000X | Surgeon | 19821 | NV |
N | 208600000X | Surgeon | 19821 | NV |
NPI | 1841428141 |
---|---|
Provider Name | Dr. Eric Joshua Siskind |
First Address | Las Vegas, NV 89102 |
Second Address | Las Vegas, NV 89106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 07/07/2020 |