Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.054249 | OH |
NPI | 1003857327 |
---|---|
Provider Name | Ricardo Romero |
First Address | Cleveland, OH 44193-0005 |
Second Address | Hilliard, OH 43026-1391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 03/08/2009 |