Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 200605 | NC |
Y | 208000000X | Pediatrician | 200605 | NC |
NPI | 1003965013 |
---|---|
Provider Name | Mr. Gilbert Holmes Ciocci |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 03/09/2013 |