Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | D0058973 | MD |
NPI | 1003946922 |
---|---|
Provider Name | Thomas Finkelston |
First Address | Wilmington, DE 19850 |
Second Address | Leonardtown, MD 20650-2015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 30/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D0058973 | LICENSE (01) | MD |