Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 35.055679 | OH |
NPI | 1023102837 |
---|---|
Provider Name | Dr. Patria Gutay Gerardo |
First Address | Brecksville, OH 44141-2942 |
Second Address | Brecksville, OH 44141-3204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |