Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 280344 | NY |
NPI | 1619105475 |
---|---|
Provider Name | Dr. Khalid Hesham |
First Address | Brooklyn, NY 11203-2012 |
Second Address | Brooklyn, NY 11203-2012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 28/08/2015 |