Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | OS17131 | FL |
NPI | 1043878978 |
---|---|
Provider Name | Haowei Han |
First Address | Aventura, FL 33180-3108 |
Second Address | Aventura, FL 33180-3108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2019 |
Last Update Date | 04/05/2021 |