Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | D0066787 | MD |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD040772L | PA |
NPI | 1477985851 |
---|---|
Provider Name | Dr. Maximilian Muenke |
First Address | Bethesda, MD 20814-5429 |
Second Address | Bethesda, MD 20814-5429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2013 |
Last Update Date | 07/08/2013 |