Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 17967 | NV |
NPI | 1003182106 |
---|---|
Provider Name | Henry Palangdao Igid |
First Address | Henderson, NV 89014-6692 |
Second Address | Las Vegas, NV 89144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 16/09/2019 |