Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 046121 | GA |
NPI | 1649212077 |
---|---|
Provider Name | Joseph A Hilinski |
First Address | Boise, ID 83712-6273 |
Second Address | Boise, ID 83712-6273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 04/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
741243318A | (05) | GA |
H95379 | (02) |