Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD-18338 | HI |
NPI | 1407226657 |
---|---|
Provider Name | Paul Moroz |
First Address | Honolulu, HI 96826-1027 |
Second Address | Honolulu, HI 96826-1027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2015 |
Last Update Date | 30/09/2015 |