Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35033299 | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | 35033299 | OH |
N | 207RC0200X | Critical Care Medicine | 35033299 | OH |
NPI | 1336192350 |
---|---|
Provider Name | Carl Leier II |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 06/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0325026 | (05) | OH |
A74940 | (02) | OH |