Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | ME145525 | FL |
NPI | 1174941942 |
---|---|
Provider Name | Arun Hariharan |
First Address | Fort Myers, FL 33908-3732 |
Second Address | Fort Myers, FL 33908-3732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 25/01/2021 |