Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | G59699 | CA |
Y | 207RP1001X | Pulmonary Disease | G59699 | CA |
NPI | 1043317563 |
---|---|
Provider Name | Robert Filuk |
First Address | San Jose, CA 95126-3785 |
Second Address | San Jose, CA 95126-3785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 11/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G596990 | (05) | CA |
A53517 | (02) | CA |