Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 677 | OH |
NPI | 1104927292 |
---|---|
Provider Name | Alan L Palgut |
First Address | Willoughby Hills, OH 44094 |
Second Address | Willoughby Hills, OH 44094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 10/02/2009 |