Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 2002-0229 | NM |
NPI | 1073573507 |
---|---|
Provider Name | Tudor Ocneanu |
First Address | Santa Fe, NM 87505-6309 |
Second Address | Santa Fe, NM 87505-6309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27332331 | (05) | NM |
H73423 | (02) | NM |