Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD045037 | DC |
N | 207YP0228X | Pediatric Otolaryngology | MD045037 | DC |
NPI | 1164780342 |
---|---|
Provider Name | Lyuba Gitman |
First Address | Washington, DC 20010-2970 |
Second Address | Washington, DC 20010-2970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 20/06/2018 |