Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ACKNOWLEDGEMENT LETT | OH |
NPI | 1851777114 |
---|---|
Provider Name | Dr. Abdullah Aljasser |
First Address | Columbus, OH 43215-7407 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2015 |
Last Update Date | 09/08/2015 |