Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 0101245609 | VA |
Y | 208200000X | Surgeon | 0101245609 | VA |
Y | 208600000X | Surgeon | 0101245609 | VA |
N | 208200000X | Surgeon | 45966 | WI |
N | 208600000X | Surgeon | 45966 | WI |
N | 2086S0129X | Vascular Surgeon | 0101245609 | VA |
NPI | 1437249992 |
---|---|
Provider Name | Dr. Ralph Eugene Layman III |
First Address | Richmond, VA 23229-4920 |
Second Address | Richmond, VA 23229-4920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 23/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2009212013 | (05) | VA |