Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 219640 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 219640 | NY |
NPI | 1164442950 |
---|---|
Provider Name | Hans Stohrer |
First Address | New York, NY 10128-7859 |
Second Address | New York, NY 10025-3923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 07/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02577291 | (05) | NY |
I20028 | (02) | NY |