Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 276388 | NY |
Y | 207X00000X | Orthopaedic Surgeon | 47530 | IA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301103884 | MI |
NPI | 1265873418 |
---|---|
Provider Name | Mihail Radulescu |
First Address | Rome, NY 13441 |
Second Address | Mason City, IA 50401-2926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 15/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03950378 | (05) | NY |
J400159048 | (02) | NY |