Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35 128533 | OH |
N | 207RI0200X | Infectious Disease | 45902 | KY |
NPI | 1003070301 |
---|---|
Provider Name | Moises Arturo Huaman Joo |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 10/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100243610 | (05) | KY |