Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35030839 | OH |
NPI | 1003189481 |
---|---|
Provider Name | Dr. Eduardo Soloria |
First Address | Fairfield, OH 45014-3974 |
Second Address | Fairfield, OH 45014-3974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 16/02/2012 |