Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 51703 | CT |
NPI | 1013122977 |
---|---|
Provider Name | Dr. Brian Lee Sperling |
First Address | Shelton, CT 06484-6416 |
Second Address | Shelton, CT 06484-6416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 20/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013122977 | (05) | CT |