Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A26714 | CA |
NPI | 1003951880 |
---|---|
Provider Name | Buenor D. Puplampu |
First Address | Oakland, CA 94612-3766 |
Second Address | Oakland, CA 94612-3766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |