Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0059467 | MD |
Y | 208600000X | Surgeon | D0059467 | MD |
N | 2086S0105X | Surgery of the Hand | D0059467 | MD |
NPI | 1336237411 |
---|---|
Provider Name | Helmut Pfalz |
First Address | Barstow, MD 20610-0054 |
Second Address | Prince Frederick, MD 20678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 21/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400380200 | (05) | MD |