Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 250614 | MA |
NPI | 1033302625 |
---|---|
Provider Name | Fei Gu |
First Address | Santa Fe, NM 87505-6996 |
Second Address | Santa Fe, NM 87505-6996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2007 |
Last Update Date | 03/12/2015 |