Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 125.051249 | IL |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D0074282 | MD |
NPI | 1881853448 |
---|---|
Provider Name | Michael Ted Somenek |
First Address | Washington, DC 20037-1404 |
Second Address | Washington, DC 20037-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2008 |
Last Update Date | 24/04/2018 |