Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 26204 | WV |
NPI | 1003127432 |
---|---|
Provider Name | Dr. Ahmad Eter |
First Address | Princeton, WV 24740-2357 |
Second Address | Beckley, WV 25801-3141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 06/01/2022 |