Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35.097161 | OH |
N | 207L00000X | Anesthesiologist | A120384 | CA |
NPI | 1003077157 |
---|---|
Provider Name | Michael Isaac Sniderman |
First Address | Newark, OH 43055-1822 |
Second Address | Newark, OH 43055-1822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2008 |
Last Update Date | 22/10/2019 |