Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 25921 | AL |
NPI | 1023025434 |
---|---|
Provider Name | Dr. Naveen Thomas Lobo |
First Address | Decatur, AL 35601-4347 |
Second Address | Decatur, AL 35601-4347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 25/02/2011 |