Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | D51880 | MD |
NPI | 1366499907 |
---|---|
Provider Name | Dr. Ricardo A Yazigi |
First Address | Baltimore, MD 21204-6516 |
Second Address | Baltimore, MD 21204-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 13/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56514 | (02) |