Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 292354 | NY |
NPI | 1265934137 |
---|---|
Provider Name | Stergios Zacharoulis |
First Address | London, UK 21 |
Second Address | London, UK NW2 1SR |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 06/03/2018 |