Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.127911 | OH |
Y | 2080P0201X | Pediatric Allergist | 35.127911 | OH |
NPI | 1174752661 |
---|---|
Provider Name | Dr. Daniel J Urschel |
First Address | Dayton, OH 45404-1873 |
Second Address | Dayton, OH 45404-1815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2009 |
Last Update Date | 21/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0165373 | (05) | OH |