Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.121922 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35.121922 | OH |
NPI | 1174526735 |
---|---|
Provider Name | Russell Earl Ware |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 02/02/2015 |