Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 9595 | SD |
Y | 2080P0203X | Pediatric Critical Care Doctor | 9595 | SD |
NPI | 1144453762 |
---|---|
Provider Name | Gokhan Olgun |
First Address | Chicago, IL 60607-4103 |
Second Address | Sioux Falls, SD 57105-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2009 |
Last Update Date | 23/04/2019 |