Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 35.054842 | OH |
NPI | 1023102324 |
---|---|
Provider Name | Dr. Gary Brian Kaplan |
First Address | Willoughby, OH 44094-4643 |
Second Address | Willoughby, OH 44094-4643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0658702 | (05) | OH |
A16875 | (02) | OH |