Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.121886 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.121886 | OH |
NPI | 1336167766 |
---|---|
Provider Name | Dr. David Bruce Haslam |
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 | 17/07/2006 |
Last Update Date | 03/02/2015 |