Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 57145 | TN |
Y | 204F00000X | Transplant Surgeon | D89838 | MD |
N | 208200000X | Surgeon | 57145 | TN |
N | 208600000X | Surgeon | 57145 | TN |
NPI | 1447336102 |
---|---|
Provider Name | Daniel German Maluf |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201-7003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 02/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010280621 | (05) | VA |
H76359 | (02) |