Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D27786 | MD |
NPI | 1013926245 |
---|---|
Provider Name | Dr. Bernard J Rogus |
First Address | Owings Mills, MD 21117-5421 |
Second Address | Silver Spring, MD 20906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 23/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020291600 | (05) | MD |
D05822 | (02) |