Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35084393 | OH |
NPI | 1013092147 |
---|---|
Provider Name | Sameh R Yonan |
First Address | Lorain, OH 44053-2382 |
Second Address | Lorain, OH 44053-2382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 27/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2600797 | (05) | OH |
I33729 | (02) | OH |