Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35.076683 | OH |
NPI | 1053386581 |
---|---|
Provider Name | Eric A Espinal |
First Address | Akron, OH 44304-1429 |
Second Address | Akron, OH 44304-1429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 30/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2135013 | (05) | OH |
ES0888001 | MEDICARE ID (01) | OH |
ES0888005 | MEDICARE ID (01) | OH |
H01476 | (02) |