Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | D59113 | MD |
N | 207RH0003X | Hematology & Oncology | D59113 | MD |
Y | 207RX0202X | Medical Oncology | D59113 | MD |
NPI | 1417988148 |
---|---|
Provider Name | Lode Swinnen |
First Address | Baltimore, MD 21264-4474 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 03/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
426630700 | (05) | MD |
C48940 | (02) | MD |