Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 01027196A | IN |
NPI | 1336110204 |
---|---|
Provider Name | Dr. William Martin Yudt |
First Address | Baltimore, MD 21203-5943 |
Second Address | Bethesda, MD 20889 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 08/07/2007 |