Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35079293 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35.079293 | OH |
NPI | 1063417426 |
---|---|
Provider Name | Raul Weiss |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2039118 | (05) | OH |
F70809 | (02) | |
F70809 | (02) | OH |