Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 35.097530 | OH |
NPI | 1134328537 |
---|---|
Provider Name | William Hanna |
First Address | Cleveland, OH 44118-3931 |
Second Address | Cleveland, OH 44118-3931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 23/05/2016 |