Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-130586 | IL |
N | 111NI0900X | Internist | 036-130586 | IL |
Y | 207RC0200X | Critical Care Medicine | 35129434 | OH |
N | 207RP1001X | Pulmonary Disease | 036-130586 | IL |
NPI | 1043402035 |
---|---|
Provider Name | Daniel L Butnariu |
First Address | Dayton, OH 45429-2219 |
Second Address | Dayton, OH 45429-2219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 01/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0180747 | (05) | OH |
036130586 | (05) | IL |