Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 27549 | SC |
N | 208600000X | Surgeon | 27549 | SC |
Y | 2086X0206X | Surgical Oncologist | MD446554 | PA |
NPI | 1013021666 |
---|---|
Provider Name | Nestor Esnaola |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275491 | (05) | SC |
H43145 | (02) | SC |