Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D40987 | MD |
N | 2084N0400X | Neurologist | D40987 | MD |
NPI | 1003857384 |
---|---|
Provider Name | Christopher Earley |
First Address | Baltimore, MD 21264-4227 |
Second Address | Baltimore, MD 21224-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 06/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100101900 | (05) | MD |
E95720 | (02) | MD |