Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | D86131 | MD |
Y | 213ES0000X | Sports Medicine | D86131 | MD |
NPI | 1467863662 |
---|---|
Provider Name | Michael Joseph Auriemma |
First Address | Rockville, MD 20852-7101 |
Second Address | Rockville, MD 20852-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2014 |
Last Update Date | 25/03/2021 |