Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 010258 | LA |
NPI | 1033355995 |
---|---|
Provider Name | Dr. Nathan Samuel Wexler |
First Address | New Orleans, LA 70118-5707 |
Second Address | New Orleans, LA 70118-5707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/12/2008 |
Last Update Date | 25/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1136271 | (05) | LA |
B60650 | (02) |