Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | D0025897 | MD |
NPI | 1427395300 |
---|---|
Provider Name | Dr. Gerald Marti |
First Address | Potomac, MD 20854-3717 |
Second Address | Potomac, MD 20854-3717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2013 |
Last Update Date | 03/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1064403 | MD STATE MEDICAL LICENCE (01) | MD |