Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A99214 | CA |
N | 111NI0900X | Internist | A99214 | CA |
Y | 207RI0200X | Infectious Disease | A99214 | CA |
NPI | 1043418023 |
---|---|
Provider Name | Xolani Percy Mdluli |
First Address | Palm Springs, CA 92263-2644 |
Second Address | Palm Springs, CA 92262-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 08/01/2016 |