Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD202391 | OR |
N | 207RH0000X | Hematologist | ME55276 | FL |
N | 207RX0202X | Medical Oncology | ME55276 | FL |
NPI | 1316903768 |
---|---|
Provider Name | Eric A Gershman |
First Address | Las Vegas, NV 89133-5380 |
Second Address | Henderson, NV 89052-3506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E65215 | (02) |