Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 36003318C | OH |
Y | 213ES0000X | Sports Medicine | 36003318C | OH |
N | 213ES0103X | Foot & Ankle Surgery | 36003318C | OH |
N | 213ES0131X | Foot Surgery | 36003318C | OH |
NPI | 1164405809 |
---|---|
Provider Name | Haim Cohen |
First Address | Cincinnati, OH 45263-7783 |
Second Address | Norwood, OH 45212-2793 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 01/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2399668 | (05) | OH |
U94022 | (02) |