Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | ME 115326 | FL |
NPI | 1073712071 |
---|---|
Provider Name | Dr. Ehsan Esmaeili |
First Address | Boca Raton, FL 33496 |
Second Address | Boca Raton, FL 33496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 02/07/2013 |