Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ME134720 | FL |
NPI | 1457588071 |
---|---|
Provider Name | David Zaboli |
First Address | Springfield, MO 65807-5155 |
Second Address | Springfield, MO 65807-5155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 28/10/2021 |