Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35.141832 | OH |
NPI | 1013395425 |
---|---|
Provider Name | Qunfang Li |
First Address | Toledo, OH 43604-1531 |
Second Address | Sylvania, OH 43560-2174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2015 |
Last Update Date | 01/07/2021 |