Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D0057878 | MD |
NPI | 1023182011 |
---|---|
Provider Name | Dr. Alejandro Rodriguez |
First Address | Owings Mills, MD 21117 |
Second Address | Columbia, MD 21044-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 28/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H44502 | (02) |