Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 072348 | GA |
Y | 208600000X | Surgeon | 072348 | GA |
N | 2082S0105X | Plastic Hand Surgeon | 072348 | GA |
NPI | 1780876623 |
---|---|
Provider Name | Matthew Edward Hiro |
First Address | Atlanta, GA 30308-2208 |
Second Address | Atlanta, GA 30308-2247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 25/09/2014 |