Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | D0086082 | MD |
N | 207K00000X | Allergist & Immunologist | MD474748 | PA |
N | 207KA0200X | Allergist | 0101056551 | VA |
NPI | 1457476699 |
---|---|
Provider Name | Dr. Paul Bernhard Keiser |
First Address | Rockville, MD 20852-3876 |
Second Address | Rockville, MD 20852-3876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 13/08/2021 |