Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 31633 | NE |
Y | 207VX0201X | Gynecologic Oncologist | 31633 | NE |
N | 207VX0201X | Gynecologic Oncologist | A43641 | CA |
NPI | 1396776688 |
---|---|
Provider Name | Robin P Farias-Eisner |
First Address | Omaha, NE 68124-2311 |
Second Address | Omaha, NE 68124-2323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 29/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A43641 | (05) | CA |
E96496 | (02) | CA |