NPI | 1306368691 |
---|---|
Other Name | MITCH KOHL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.135664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8103) |
Enumeration Date | 2017-07-09 |
Last Update Date | 2022-07-21 |