Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME81204 | FL |
NPI | 1043261548 |
---|---|
Provider Name | Emanuel E Gottenger |
First Address | Delray Beach, FL 33484-6596 |
Second Address | Delray Beach, FL 33484-6596 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 23/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I37336 | (02) | FL |