Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD17896 | DC |
NPI | 1427048941 |
---|---|
Provider Name | Paul H Sugarbaker |
First Address | Washington, DC 20042-0001 |
Second Address | Washington, DC 20010-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 30/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A66119 | (02) |