Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 35.121783 | OH |
N | 207YP0228X | Pediatric Otolaryngology | 4301102126 | MI |
NPI | 1851580674 |
---|---|
Provider Name | Brandon Hopkins |
First Address | Shaker Heights, OH 44122-4909 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 22/01/2014 |