Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 35-077844 | OH |
NPI | 1023059110 |
---|---|
Provider Name | Robert B Gerber |
First Address | Cleveland, OH 44135-2611 |
Second Address | Cleveland, OH 44135-2611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 14/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2516147 | (05) | OH |
H48694 | (02) | OH |