Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 01081810A | IN |
Y | 2086S0120X | Pediatric Surgery | 35.065006 | OH |
N | 2086S0120X | Pediatric Surgery | 52167 | KY |
NPI | 1083794036 |
---|---|
Provider Name | Gregory M Tiao |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45229-3039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 04/03/2019 |