Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 35.140399 | OH |
NPI | 1396703591 |
---|---|
Provider Name | Patrick Jospeh Byrne |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28487 | (02) | MD |