Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 01030618A | IN |
Y | 207Q00000X | Family Doctor | 01030618A | IN |
NPI | 1447351507 |
---|---|
Provider Name | Dr. Napoleon L Santos |
First Address | St John, IN 46373-9487 |
Second Address | Highland, IN 46322-1128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 21/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100213380 | (05) | IN |
C25471 | (02) | IN |