Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A119664 | CA |
NPI | 1750523031 |
---|---|
Provider Name | Dr. Aron Jay Gould-Simon |
First Address | Newark, CA 94560-1197 |
Second Address | Stanford, CA 94305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 15/05/2019 |