Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 01081985A | IN |
Y | 207VX0201X | Gynecologic Oncologist | 35.131678 | OH |
N | 207VX0201X | Gynecologic Oncologist | 46876 | KY |
NPI | 1326213794 |
---|---|
Provider Name | Robert Martin Ore |
First Address | Kettering, OH 45429-1226 |
Second Address | Fort Wayne, IN 46845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 16/05/2019 |