Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 26297 | NE |
N | 204F00000X | Transplant Surgeon | MD435998 | PA |
NPI | 1285860924 |
---|---|
Provider Name | Alexander Todd Maskin |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-8102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2009 |
Last Update Date | 04/02/2013 |