Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | D007743 | MD |
N | 207U00000X | Nuclear Medicine Specialist | D77483 | MD |
NPI | 1780690107 |
---|---|
Provider Name | Dr. Boris Antomonie Frolov |
First Address | Hanover, MD 21076-1388 |
Second Address | Hanover, MD 21076-1388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 18/02/2016 |