Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2181 | OH |
NPI | 1124178959 |
---|---|
Provider Name | Prof. David F. Heuser |
First Address | Dayton, OH 45409 |
Second Address | Dayton, OH 45409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 12/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2159284 | (05) | OH |
T52258 | (02) | OH |