Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101256350 | VA |
N | 207X00000X | Orthopaedic Surgeon | MTL001045 | DC |
NPI | 1013178912 |
---|---|
Provider Name | Michael Anthony Holzman |
First Address | Falls Church, VA 22042-3300 |
Second Address | Houston, TX 77030-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 20/10/2020 |