Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 27919 | GA |
NPI | 1053431577 |
---|---|
Provider Name | Dr. Robert L. Stahl |
First Address | Sandy Springs, GA 30328-3744 |
Second Address | Sandy Springs, GA 30328-3744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00313519D | (05) | GA |
D41150 | (02) | GA |