Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 35.120222 | OH |
NPI | 1831381524 |
---|---|
Provider Name | Dr. Moussa El-Hallak |
First Address | Beachwood, OH 44122-5803 |
Second Address | Beachwood, OH 44122-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 06/02/2020 |