Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 7342537 | ZZ |
Y | 208600000X | Surgeon | 7342537 | ZZ |
N | 208D00000X | General Practice Physician | 4607021 | ZZ |
NPI | 1043550577 |
---|---|
Provider Name | Hector Rolando Romero Talamas |
First Address | Lakewood, OH 44107-1575 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2013 |
Last Update Date | 20/02/2013 |