Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 91-120 | NM |
Y | 2080P0204X | Pediatric Emergency Doctor | G61677 | CA |
NPI | 1245246842 |
---|---|
Provider Name | Robert E Sapien |
First Address | Oakland, CA 94609-1809 |
Second Address | Albuquerque, NM 87131-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 29/06/2020 |