Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 39142 | SC |
NPI | 1447413851 |
---|---|
Provider Name | Slif Dagobert Ulrich |
First Address | Columbia, SC 29201-3520 |
Second Address | Columbia, SC 29201-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 04/08/2016 |