Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 28581 | MO |
NPI | 1376551432 |
---|---|
Provider Name | Dr. Bernard Joseph Dreiling |
First Address | Jackson, MS 39216-5116 |
Second Address | Jackson, MS 39216-5116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |