Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 15190 | FL |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DN15190 | FL |
NPI | 1457347932 |
---|---|
Provider Name | Ronald Lawrence Katz |
First Address | Delray Beach, FL 33446-2350 |
Second Address | Delray Beach, FL 33446-2350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 29/01/2021 |