Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35094205 | OH |
NPI | 1285908962 |
---|---|
Provider Name | Dingding Xiong |
First Address | Toledo, OH 43608-2673 |
Second Address | Toledo, OH 43608-2673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2012 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0069081 | (05) | OH |