Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 0101232576 | VA |
Y | 2086S0129X | Vascular Surgeon | 35.123446 | OH |
NPI | 1063448991 |
---|---|
Provider Name | David A Epstein |
First Address | Dublin, OH 43016-6102 |
Second Address | Columbus, OH 43215-4322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 02/05/2018 |