Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD.207300 | LA |
N | 207PP0204X | Pediatric Emergency Physician | A84336 | CA |
NPI | 1255473625 |
---|---|
Provider Name | Dr. Hilary Chukwudinma Nwosu |
First Address | Corpus Christi, TX 78413-3732 |
Second Address | Los Angeles, CA 90003-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/03/2018 |