Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | MD21289 | DC |
NPI | 1093126823 |
---|---|
Provider Name | Jagdev Singh Dhilion |
First Address | Washington, DC 20002-4569 |
Second Address | Washington, DC 20002-4569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 14/05/2014 |