Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | A152853 | CA |
NPI | 1700149317 |
---|---|
Provider Name | Andrew Charles Birkeland |
First Address | Palo Alto, CA 94304-2201 |
Second Address | Palo Alto, CA 94304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 03/07/2018 |