Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35073905 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35-073905 | OH |
NPI | 1013974856 |
---|---|
Provider Name | Walid I Saliba |
First Address | Fairlawn, OH 44333-3339 |
Second Address | Akron, OH 44302-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 07/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2166212 | (05) | OH |
G19446 | (02) | OH |