Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | D45652 | MD |
NPI | 1841340593 |
---|---|
Provider Name | Dr. Ronald L Rabin |
First Address | Rockville, MD 20852-4908 |
Second Address | Kensington, MD 20895-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F16210 | (02) |