Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 35-064661 | OH |
NPI | 1154399665 |
---|---|
Provider Name | Gerhard Louis Perz |
First Address | Cleveland, OH 44111-5612 |
Second Address | Cleveland, OH 44111-5612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 28/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0968154 | (05) | OH |