Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD469667 | PA |
NPI | 1043552409 |
---|---|
Provider Name | Dr. Robert Nicholas Hernandez |
First Address | Lancaster, PA 17601-4269 |
Second Address | Lancaster, PA 17601-4269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 26/08/2020 |