Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 01077632A | IN |
NPI | 1689808313 |
---|---|
Provider Name | Benny Seto |
First Address | Astoria, NY 11105-2501 |
Second Address | Terre Haute, IN 47804-4010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2009 |
Last Update Date | 17/09/2021 |