Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 35131831 | OH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35131831 | OH |
NPI | 1013166883 |
---|---|
Provider Name | Dr. Jeffrey Michael Griffin |
First Address | Cincinnati, OH 45219-2610 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2008 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
319792 | (05) | SC |