Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 34.011338 | OH |
NPI | 1003103672 |
---|---|
Provider Name | Dr. David Hayes |
First Address | Cincinnati, OH 45212-2787 |
Second Address | Cincinnati, OH 45227-4328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 11/07/2014 |