Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 9501168 | NC |
NPI | 1073958617 |
---|---|
Provider Name | Dr. Nasib Ayoubi |
First Address | Statesville, NC 28677-3376 |
Second Address | Statesville, NC 28677-3376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2013 |
Last Update Date | 13/05/2014 |