Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35132871 | OH |
NPI | 1023376449 |
---|---|
Provider Name | John James Graham |
First Address | Canfield, OH 44406-9009 |
Second Address | Canfield, OH 44406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2012 |
Last Update Date | 31/07/2019 |