Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS040205 | PA |
NPI | 1013312842 |
---|---|
Provider Name | Michael Choy |
First Address | Pittsburgh, PA 15213-2523 |
Second Address | Pittsburgh, PA 15213-2523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2014 |
Last Update Date | 22/10/2014 |