Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101037148 | VA |
NPI | 1497963227 |
---|---|
Provider Name | Dr. Rafael Canadas |
First Address | Arlington, VA 22203-1711 |
Second Address | Arlington, VA 22203-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |