Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0101047570 | VA |
Y | 208600000X | Surgeon | 0101047570 | VA |
NPI | 1013075688 |
---|---|
Provider Name | Dr. David E Berman |
First Address | Sterling, VA 20165-6133 |
Second Address | Sterling, VA 20165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 08/07/2007 |