Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0022913 | MD |
NPI | 1609969708 |
---|---|
Provider Name | David B.k. Golden |
First Address | Baltimore, MD 21236-4931 |
Second Address | Baltimore, MD 21236-4931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 20/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
325501800 | (05) | MD |
D72200 | (02) | MD |