Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35050423 | OH |
NPI | 1194761866 |
---|---|
Provider Name | Dr. David Morad |
First Address | Cincinnati, OH 45212-3359 |
Second Address | Cincinnati, OH 45220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 05/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0549875 | (05) | OH |
A15674 | (02) | OH |