Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A95841 | CA |
NPI | 1578680716 |
---|---|
Provider Name | Dr. Myo Min Han |
First Address | Oakland, CA 94611-5642 |
Second Address | Oakland, CA 94611-5642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 12/10/2007 |