Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | PR12921 | PR |
NPI | 1306965892 |
---|---|
Provider Name | Dr. Eric T Adler |
First Address | San Juan, PR 00918-3757 |
Second Address | San Juan, PR 00918-3757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |