Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME92144 | FL |
NPI | 1356369227 |
---|---|
Provider Name | Dr. Binno Dhar |
First Address | Port Saint Lucie, FL 34952-7552 |
Second Address | Port Saint Lucie, FL 34952-7552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 23/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I10699 | (02) | FL |