Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2881 | NV |
NPI | 1003825449 |
---|---|
Provider Name | Joseph Quagliana |
First Address | Las Vegas, NV 89119-5171 |
Second Address | Las Vegas, NV 89109-3321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 25/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C96470 | (02) | NV |