Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 50866 | KY |
NPI | 1073830360 |
---|---|
Provider Name | Dale Ding |
First Address | Louisville, KY 40201-0909 |
Second Address | Charlottesville, VA 22908-0136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 26/01/2018 |