Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 087675-1 | NY |
NPI | 1306190889 |
---|---|
Provider Name | Dr. Elliott Solomon |
First Address | Delray Beach, FL 33445 |
Second Address | Delray Beach, FL 33445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |