Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G44596 | CA |
NPI | 1245260686 |
---|---|
Provider Name | Dr. Ralph Thomas Depalma |
First Address | Oakland, CA 94609-3424 |
Second Address | Oakland, CA 94609-3424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A49695 | (02) |