Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MT221952 | PA |
Y | 208600000X | Surgeon | MT221952 | PA |
NPI | 1003433616 |
---|---|
Provider Name | Olawunmi Deborah Akinsilo |
First Address | York, PA 17403-3676 |
Second Address | York, PA 17403-3676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2020 |
Last Update Date | 30/06/2020 |