Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G75934 | CA |
NPI | 1891801338 |
---|---|
Provider Name | Dr. Michael Brett Silberberg |
First Address | Warrenville, IL 60555-4018 |
Second Address | El Segundo, CA 90245-4814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |