Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | D61769 | MD |
NPI | 1104972835 |
---|---|
Provider Name | Christian Frederick Meyer |
First Address | Baltimore, MD 21264-4474 |
Second Address | Baltimore, MD 21231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 14/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
420197300 | (05) | MD |