Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 35.039575 | OH |
Y | 207KA0200X | Allergist | 35.039575 | OH |
NPI | 1528062890 |
---|---|
Provider Name | Dr. Gregory N Entis |
First Address | Cincinnati, OH 45212-3359 |
Second Address | Cincinnati, OH 45236-2283 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2005 |
Last Update Date | 15/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0402853 | (05) | OH |
0459329 | (05) | OH |
A79713 | (02) | OH |