Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35.140041 | OH |
NPI | 1104213834 |
---|---|
Provider Name | Ms. Yue Ding |
First Address | Toledo, OH 43615-4040 |
Second Address | Toledo, OH 43606-3800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2015 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0420836 | (05) | OH |