Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | C0007746 | MD |
NPI | 1104415322 |
---|---|
Provider Name | Emily F Wolf |
First Address | Baltimore, MD 21231-3647 |
Second Address | Baltimore, MD 21215-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2021 |
Last Update Date | 14/01/2021 |