Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 030565 | CT |
Y | 207RH0003X | Hematology & Oncology | 030565 | CT |
N | 207RX0202X | Medical Oncology | 030565 | CT |
NPI | 1093800369 |
---|---|
Provider Name | Michael Henry Bar |
First Address | Stamford, CT 06902-3628 |
Second Address | Stamford, CT 06902-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001305657 | (05) | CT |
E32519 | (02) |