Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.125660 | OH |
N | 111NI0900X | Internist | 35.125660 | OH |
Y | 207RH0000X | Hematologist | A140677 | CA |
N | 207RH0003X | Hematology & Oncology | A140677 | CA |
NPI | 1407113871 |
---|---|
Provider Name | Dr. William Elias Shomali |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 09/07/2020 |