Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | D57994 | MD |
NPI | 1194899021 |
---|---|
Provider Name | Dr. Sven Ingo Ender |
First Address | Annapolis, MD 21401-8943 |
Second Address | Annapolis, MD 21401-3046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 25/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09380003 | GHI (01) | DC |
463102100 | (05) | MD |
AT540008 | BCBS (01) | MD |