Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 34.009366 | OH |
NPI | 1245442987 |
---|---|
Provider Name | Dr. Safet O. Hatic II |
First Address | Cincinnati, OH 45271-0001 |
Second Address | Dayton, OH 45414-5800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 24/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3027861 | (05) | OH |