Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 99-00058 | NC |
NPI | 1588683825 |
---|---|
Provider Name | Dr. Gregory Harron Gorman |
First Address | Bethesda, MD 20889-0001 |
Second Address | Bethesda, MD 20889-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 23/11/2010 |