Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | A132040 | CA |
N | 208200000X | Surgeon | A132040 | CA |
N | 208600000X | Surgeon | A132040 | CA |
NPI | 1457643595 |
---|---|
Provider Name | Dr. Neal Martin Mineyev |
First Address | Sacramento, CA 95817 |
Second Address | Sacramento, CA 95817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2011 |
Last Update Date | 28/08/2020 |