Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | OS 13343 | FL |
NPI | 1134414386 |
---|---|
Provider Name | Dr. Neil Isaac Kirschbaum |
First Address | Miramar, FL 33029-5614 |
Second Address | Miramar, FL 33029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 20/06/2018 |