Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 50414 | KY |
NPI | 1043502206 |
---|---|
Provider Name | Dr. Joseph James Maly |
First Address | Chicago, IL 60677-6347 |
Second Address | Louisville, KY 40207-4723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 20/01/2021 |