Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 22809 | NE |
NPI | 1013910280 |
---|---|
Provider Name | Dr. Patrick B Leu |
First Address | Omaha, NE 68114-3907 |
Second Address | Omaha, NE 68114-3907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H83445 | (02) | NE |