Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 23966 | AL |
NPI | 1013969039 |
---|---|
Provider Name | Dr. Victor K Jiminez |
First Address | Huntsville, AL 35802-1679 |
Second Address | Huntsville, AL 35802-1679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 29/06/2010 |