Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 41486 | OH |
NPI | 1609810605 |
---|---|
Provider Name | Dr. Robert Joseph Fink |
First Address | Dayton, OH 45404-1898 |
Second Address | Dayton, OH 45404-1898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2332505 | (05) | OH |
E63689 | (02) | OH |