Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0029760 | MD |
NPI | 1033745336 |
---|---|
Provider Name | Dr. David Myers |
First Address | Annapolis, MD 21401-4498 |
Second Address | Annapolis, MD 21401-4498 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2020 |
Last Update Date | 18/03/2020 |