Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0101253888 | VA |
NPI | 1063731016 |
---|---|
Provider Name | Joshua A Morales |
First Address | Roanoke, VA 24014-2419 |
Second Address | Roanoke, VA 24014-2419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 01/12/2017 |