Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35.129320 | OH |
Y | 208600000X | Surgeon | 35.129320 | OH |
NPI | 1013232214 |
---|---|
Provider Name | Iuliana Dit Bobanga |
First Address | Chagrin Falls, OH 44023 |
Second Address | Cleveland, OH 44195-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 31/12/2020 |