Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 50666 | CT |
NPI | 1003034042 |
---|---|
Provider Name | Dr. Michael Ehrlich |
First Address | New Haven, CT 06510 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 29/07/2014 |