Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 2006-00647 | NC |
N | 207RP1001X | Pulmonary Disease | 2006-00647 | NC |
NPI | 1023120342 |
---|---|
Provider Name | Dr. Samer Taj-Eldin |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 13/04/2021 |