Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | D62790 | MD |
NPI | 1184673477 |
---|---|
Provider Name | Michael D Dabbah |
First Address | Towson, MD 21204-7736 |
Second Address | Towson, MD 21204-7736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 13/11/2013 |