Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D0070159 | MD |
NPI | 1063687184 |
---|---|
Provider Name | Dr. Khalid Helmy Kurtom |
First Address | Easton, MD 21601-4059 |
Second Address | Easton, MD 21601-4059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 21/07/2014 |