Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | D52894 | MD |
NPI | 1689840837 |
---|---|
Provider Name | Bruce E Jarrell |
First Address | Baltimore, MD 21201-1509 |
Second Address | Baltimore, MD 21201-1509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 07/05/2008 |