Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101261385 | VA |
NPI | 1003350265 |
---|---|
Provider Name | Hani Alsergani |
First Address | Riyadh, CENTRAL 11211 |
Second Address | Riyadh, CENTRAL 11211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |