Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35082223 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35082223O | OH |
NPI | 1003844366 |
---|---|
Provider Name | Dr. Thomas M. O'brien |
First Address | Cincinnati, OH 45219-2610 |
Second Address | Liberty Township, OH 45044-0006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 21/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2833643 | (05) | OH |