Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A114292 | CA |
NPI | 1093015091 |
---|---|
Provider Name | Dr. Pawel Patryk Jankowski |
First Address | Irvine, CA 92618-3786 |
Second Address | Irvine, CA 92618-3786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 22/10/2018 |