Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | E-12932 | AR |
N | 207RX0202X | Medical Oncology | 2006004162 | MO |
NPI | 1093849432 |
---|---|
Provider Name | Dr. David Irving Kuperman |
First Address | Little Rock, AR 72215-5050 |
Second Address | Little Rock, AR 72205-6523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 10/01/2021 |