Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | D0040882 | MD |
N | 207NS0135X | Procedural Dermatology | D0040882 | MD |
NPI | 1164458873 |
---|---|
Provider Name | Dr. Eric Finzi |
First Address | Greenbelt, MD 20770-2037 |
Second Address | Greenbelt, MD 20770-2037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 05/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E86765 | (02) | MD |