Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | D0045675 | MD |
NPI | 1598706780 |
---|---|
Provider Name | Dr. Martin Gilbert Pomper |
First Address | Baltimore, MD 21264-4358 |
Second Address | Baltimore, MD 21224-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 14/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213321100 | (05) | MD |
2849 | B/C B/S (01) | DC |
G00230 | (02) | MD |
J062 | B/C B/S (01) | MD |
KA80 | B/C B/S (01) | MH |