Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301105300 | MI |
Y | 111NI0900X | Internist | 4301105300 | MI |
NPI | 1003221169 |
---|---|
Provider Name | Ewa Gniado |
First Address | Cincinnati, OH 45267-0001 |
Second Address | Cincinnati, OH 45267-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2014 |
Last Update Date | 23/06/2017 |