Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D-02491 | MD |
NPI | 1013978915 |
---|---|
Provider Name | Dr. Richard Louis Cohen |
First Address | Baltimore, MD 21208-6332 |
Second Address | Baltimore, MD 21208-6332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 13/12/2007 |