Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 58.002750 | OH |
NPI | 1083848535 |
---|---|
Provider Name | Dr. Azeem Z. Vasi |
First Address | Bryan, OH 43506-8959 |
Second Address | Dayton, OH 45405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 13/05/2009 |