Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | D85611 | MD |
N | 208C00000X | Colorectal Surgeon | MT214631 | PA |
NPI | 1205199874 |
---|---|
Provider Name | Richard Birkett |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 21/09/2018 |