Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 28286 | AL |
NPI | 1053520312 |
---|---|
Provider Name | Brian Kulbersh |
First Address | Birmingham, AL 35243-2941 |
Second Address | Birmingham, AL 35243-2941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 23/09/2021 |