Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301085051 | MI |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 35.092409 | OH |
NPI | 1093923617 |
---|---|
Provider Name | Dr. David Sohn |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-2595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 05/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2890126 | (05) | OH |