Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD.010955 | LA |
NPI | 1013909019 |
---|---|
Provider Name | Ronald P Rabin |
First Address | Metairie, LA 70006-2933 |
Second Address | Metairie, LA 70006-2933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 30/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010955 | (02) | LA |
1301523 | (05) | LA |