Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 22808 | MD |
Y | 207U00000X | Nuclear Medicine Specialist | C1-0013361 | DE |
NPI | 1669659959 |
---|---|
Provider Name | Dr. James Alfred Ntambi |
First Address | Newark, DE 19718-2200 |
Second Address | Newark, DE 19718-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 21/10/2019 |