Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD2015-0247 | NM |
N | 2084N0402X | Child Neurologist | A116439 | CA |
NPI | 1093943508 |
---|---|
Provider Name | Adam Numis |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Los Angeles, CA 90095-8358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 22/03/2017 |