Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 43758 | TN |
NPI | 1033180062 |
---|---|
Provider Name | Dr. Hernan Orlando Altamar |
First Address | Bethesda, MD 20889-0004 |
Second Address | Bethesda, MD 20889-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2006 |
Last Update Date | 30/10/2013 |