Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 2009-01773 | NC |
NPI | 1528233665 |
---|---|
Provider Name | Michael Cohen-Wolkowiez |
First Address | Durham, NC 27705-3941 |
Second Address | Durham, NC 27705-3941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 06/01/2010 |