Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 0101255226 | VA |
N | 2086X0206X | Surgical Oncologist | MD2007-0633 | NM |
NPI | 1093962581 |
---|---|
Provider Name | Udo Rudloff |
First Address | Bethesda, MD 20814-3905 |
Second Address | Bethesda, MD 20892-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 30/12/2013 |