Individual
RISAL S DJOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
264225
NY
208200000X
Plastic Surgery Physician
Primary
35083499D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2428635
—
OH
Enumeration date
04/12/2006
Last updated
03/30/2012
Update your record
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