Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35.027380 | OH |
NPI | 1063479418 |
---|---|
Provider Name | Albert Leo Timperman |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43203-1278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 26/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0198012 | (05) | OH |
A71014 | (02) |