Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MED-PHYS-LIC-76297 | MT |
NPI | 1114347788 |
---|---|
Provider Name | Dr. Michael Belsky |
First Address | Washington, DC 20010-3017 |
Second Address | Washington, DC 20010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 30/04/2019 |