Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 0101041611 | VA |
N | 207U00000X | Nuclear Medicine Specialist | BN1451397 | DC |
N | 207U00000X | Nuclear Medicine Specialist | D0035949 | MD |
NPI | 1023217726 |
---|---|
Provider Name | Dr. Eric H Norby |
First Address | Annandale, VA 22003-6800 |
Second Address | Annandale, VA 22003-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 01/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006650147 | (05) | VA |
036364400 | (05) | DC |
E40798 | (02) | DC |