Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 34.013960 | OH |
Y | 207P00000X | Emergency Physician | 5101025930 | MI |
NPI | 1013363001 |
---|---|
Provider Name | Hussein Ghoul |
First Address | Richmond Heights, OH 44143 |
Second Address | Richmond Heights, OH 44143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2016 |
Last Update Date | 15/01/2021 |