Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | C154676 | CA |
N | 208600000X | Surgeon | C154676 | CA |
N | 2086X0206X | Surgical Oncologist | 037803 | CT |
Y | 2086X0206X | Surgical Oncologist | 2012-01935 | NC |
NPI | 1285615567 |
---|---|
Provider Name | Sanziana Alina Roman |
First Address | Durham, NC 27713-4430 |
Second Address | San Francisco, CA 94143-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 18/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001378034 | (05) | CT |
G95279 | (02) |