Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 70-132 | NM |
NPI | 1023315959 |
---|---|
Provider Name | Dr. Gerald Nathan Gold |
First Address | Albuquerque, NM 87106-3712 |
Second Address | Albuquerque, NM 87106-3712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2011 |
Last Update Date | 10/02/2011 |