Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 221248 | NY |
NPI | 1083719900 |
---|---|
Provider Name | Dr. Sharif Eusufzai |
First Address | San Antonio, TX 78223-1703 |
Second Address | San Antonio, TX 78223-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |