Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 033031 | OH |
N | 207VX0000X | Obstetrician | 033031 | OH |
N | 208200000X | Surgeon | 033031 | OH |
N | 208600000X | Surgeon | 033031 | OH |
NPI | 1114408119 |
---|---|
Provider Name | Manohar Lal |
First Address | Akron, OH 44313-5922 |
Second Address | Akron, OH 44313-5922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 27/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
033031 | OH LICENSE NUMBER (01) | OH |