Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 57.009555 | OH |
NPI | 1548396054 |
---|---|
Provider Name | Luis Alexander Rojas-Espaillat |
First Address | Sioux Falls, SD 57118-6370 |
Second Address | Sioux Falls, SD 57105-1035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 02/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00742606 | RR MEDICARE (01) | SD |
S6201492 | (05) | SD |