Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 7866 | NV |
NPI | 1013928886 |
---|---|
Provider Name | Dr. Leo R Germin |
First Address | Henderson, NV 89053-0786 |
Second Address | Henderson, NV 89012-3494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 03/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019758 | (05) | NV |
F80599 | (02) | NV |