Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 35035108 | OH |
NPI | 1609926286 |
---|---|
Provider Name | Dr. Jonathan Israel Singer |
First Address | Kettering, OH 45429-1221 |
Second Address | Kettering, OH 45429-1221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |