Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A134065 | CA |
NPI | 1013307479 |
---|---|
Provider Name | Christian Michael Eisert |
First Address | Martinez, CA 94553-3156 |
Second Address | Martinez, CA 94553-3156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2015 |
Last Update Date | 25/04/2020 |