Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 6490 | NV |
NPI | 1043200066 |
---|---|
Provider Name | Dr. Zvi Sela |
First Address | Las Vegas, NV 89106-4844 |
Second Address | Las Vegas, NV 89106-4844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 26/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019213 | (05) | NV |
E39439 | (02) | NV |