Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 35060903 | OH |
NPI | 1083695589 |
---|---|
Provider Name | Paul A. Byrne |
First Address | Toledo, OH 43624-1120 |
Second Address | Oregon, OH 43616-3207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0811901 | (05) | OH |