Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD017759-E | PA |
NPI | 1114990223 |
---|---|
Provider Name | David Zorub |
First Address | Pittsburgh, PA 15232-1300 |
Second Address | Pittsburgh, PA 15232-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B35067 | (02) | PA |