Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0038522 | MD |
NPI | 1013915487 |
---|---|
Provider Name | Dr. Antoni Bernard Goral |
First Address | Chevy Chase, MD 20815-5803 |
Second Address | Chevy Chase, MD 20815-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 25/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
484431900 | (05) | MD |
543761000 | (05) | MD |
E23094 | (02) | MD |