Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D0059030 | MD |
Y | 207XS0117X | Orthopaedic Spine Surgeon | D0059030 | MD |
NPI | 1366410193 |
---|---|
Provider Name | Dr. Mesfin A. Lemma |
First Address | Baltimore, MD 21239-2905 |
Second Address | Baltimore, MD 21239-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 11/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63603 | (02) |