Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D0007437 | MD |
N | 208600000X | Surgeon | D0007437 | MD |
NPI | 1023091048 |
---|---|
Provider Name | Dr. Hiroshi Nakazawa |
First Address | Catonsville, MD 21228-4176 |
Second Address | Catonsville, MD 21228-4176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C48897 | (02) |