Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 01023793A | IN |
NPI | 1447523337 |
---|---|
Provider Name | Dr. Leo J Mccarthy |
First Address | Indianapolis, IN 46260 |
Second Address | Indianapolis, IN 46260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2012 |
Last Update Date | 23/02/2012 |