Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT194915 | PA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35.099808 | OH |
NPI | 1184853814 |
---|---|
Provider Name | Dr. Andrew James Bukowinski |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 05/08/2014 |