Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 6303 | NV |
N | 207R00000X | Internist | 6303 | NV |
N | 111NI0900X | Internist | 6303 | NV |
N | 207RP1001X | Pulmonary Disease | 6303 | NV |
NPI | 1225010523 |
---|---|
Provider Name | Joram S. Seggev |
First Address | Las Vegas, NV 89128-0297 |
Second Address | Las Vegas, NV 89128-0297 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 29/01/2015 |