Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 42015 | IA |
Y | 207RP1001X | Pulmonary Disease | 42015 | IA |
NPI | 1043455215 |
---|---|
Provider Name | Rolando Sanchez Sanchez |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 15/10/2014 |