Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 31119 | NC |
NPI | 1861464422 |
---|---|
Provider Name | Mr. Nitzan Daniel Catz |
First Address | Morrisville, NC 27560-8442 |
Second Address | Smithfield, NC 27577-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
890157A | (05) | NC |
C86916 | (02) |