Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D85694 | MD |
N | 207XS0117X | Orthopaedic Spine Surgeon | D85694 | MD |
NPI | 1356603260 |
---|---|
Provider Name | Morenikeji Ayodele Buraimoh |
First Address | Baltimore, MD 21209-3746 |
Second Address | Baltimore, MD 21209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2012 |
Last Update Date | 14/06/2020 |