Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 35.133033 | OH |
NPI | 1104212075 |
---|---|
Provider Name | Takaharu Karube |
First Address | Columbus, OH 43205-2639 |
Second Address | Columbus, OH 43205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 27/06/2018 |