Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD4360 | DC |
NPI | 1063564532 |
---|---|
Provider Name | Dr. Dal Yoo |
First Address | Westminster, MD 21157-5036 |
Second Address | Washington, DC 20017-2151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 15/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2674611 00 | (05) | DC |
43740001 | BLUE CROSSBLUESHIELD (01) | DC |