Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 042.0013868 | VT |
N | 2084N0400X | Neurologist | 051107 | NY |
N | 2084V0102X | Vascular Neurology | 042.0013868 | VT |
Y | 2084V0102X | Vascular Neurology | 2020001912 | MO |
N | 2084V0102X | Vascular Neurology | MD443607 | PA |
NPI | 1043487796 |
---|---|
Provider Name | Dr. Guillermo Linares |
First Address | Saint Louis, MO 63110-2540 |
Second Address | Saint Louis, MO 63104-1016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 28/09/2020 |