Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 201774 | NY |
N | 207PE0004X | Emergency Medical Services | 201774-1 | NY |
N | 208200000X | Surgeon | 201774 | NY |
N | 208600000X | Surgeon | 201774 | NY |
NPI | 1063464493 |
---|---|
Provider Name | Dr. Geoffrey Grant Hobika SR. |
First Address | Buffalo, NY 14215-1129 |
Second Address | Buffalo, NY 14215-1129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 27/04/2015 |