Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 31421-020 | WI |
NPI | 1033162904 |
---|---|
Provider Name | Yamil M Arbaje |
First Address | Madison, WI 53717-1959 |
Second Address | Madison, WI 53717-1959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033162904 | (05) | WI |
F48032 | (02) |