Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35076550 | OH |
NPI | 1043215676 |
---|---|
Provider Name | Dr. Noman Rafique |
First Address | Massillon, OH 44646-9118 |
Second Address | Massillon, OH 44646-9118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 21/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2138994 | (05) | OH |
H01925 | (02) | OH |