Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0062609 | MD |
NPI | 1124059779 |
---|---|
Provider Name | Dr. Christopher Lee Forthman |
First Address | Lutherville, MD 21093-5300 |
Second Address | Lutherville, MD 21093-5300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 23/09/2015 |