Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 35.133916 | OH |
NPI | 1821358029 |
---|---|
Provider Name | Dr. Michael Gregor Sherenian |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Chicago, IL 60611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 06/06/2018 |