Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 41603 | CA |
NPI | 1023175262 |
---|---|
Provider Name | Liviu Florian Eftimie |
First Address | Riverside, CA 92506-2606 |
Second Address | Riverside, CA 92506-2606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |