Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 35134689 | OH |
NPI | 1275857120 |
---|---|
Provider Name | Dr. Aslam Ejaz |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2010 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0322410 | (05) | OH |