Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | D0028780 | MD |
NPI | 1154490910 |
---|---|
Provider Name | Hugh H Trout III |
First Address | Bethesda, MD 20814-3107 |
Second Address | Bethesda, MD 20814-3107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 04/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2976510-00 | (05) | MD |
C88590 | (02) | MD |