Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101253988 | VA |
NPI | 1013025857 |
---|---|
Provider Name | Jeffrey Ching-Kwei Mai |
First Address | Baltimore, MD 21279-0777 |
Second Address | Charlottesville, VA 22911-4668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 04/05/2017 |