Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0071795 | MD |
Y | 208600000X | Surgeon | D0071795 | MD |
N | 2086S0102X | Surgical Critical Care | D0071795 | MD |
NPI | 1255439626 |
---|---|
Provider Name | Eric J. Kraut |
First Address | Owings Mills, MD 21117-4836 |
Second Address | Owings Mills, MD 21117-4836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 31/03/2014 |