Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0160 | MP |
NPI | 1780711978 |
---|---|
Provider Name | Dr. Florian Gustav Adolf Braig |
First Address | Saipan, MP 96950 |
Second Address | Saipan, MP 96950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I38727 | (02) |