Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 14661 | NV |
Y | 207RP1001X | Pulmonary Disease | 14661 | NV |
NPI | 1033164009 |
---|---|
Provider Name | Dr. Hidenobu Shigemitsu |
First Address | Las Vegas, NV 89126-4506 |
Second Address | Las Vegas, NV 89102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H78773 | (02) | NV |