Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD12090 | DC |
NPI | 1003104209 |
---|---|
Provider Name | Mr. Joel Edward Kleinman |
First Address | Washington, DC 20015-1834 |
Second Address | Washington, DC 20015-1834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 21/07/2011 |