Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD153848 | OR |
NPI | 1053567545 |
---|---|
Provider Name | Wei Bai |
First Address | Santa Maria, CA 93454-3757 |
Second Address | Santa Maria, CA 93454-5915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 27/05/2020 |