Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | P15645 | NC |
NPI | 1487183158 |
---|---|
Provider Name | Dr. Jonathan Paul Weinhold |
First Address | Durham, NC 27705-6302 |
Second Address | Durham, NC 27705-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2017 |
Last Update Date | 07/06/2017 |