Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301091461 | MI |
NPI | 1437167483 |
---|---|
Provider Name | Dr. Xiaoni Hong |
First Address | Saint Louis, MO 63110-1016 |
Second Address | Detroit, MI 48202-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 27/01/2020 |