Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | X009075-1 | NY |
NPI | 1518150507 |
---|---|
Provider Name | David Hojna |
First Address | Arcade, NY 14009-0154 |
Second Address | Arcade, NY 14009-0154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 22/08/2007 |