| 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 |