Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 287418 | MA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 287418 | MA |
NPI | 1861889834 |
---|---|
Provider Name | Dr. Emmanouil Grigoriou |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2015 |
Last Update Date | 23/06/2021 |