Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 11220 | CA |
NPI | 1497823843 |
---|---|
Provider Name | Dr. Ronald Harry Marashian |
First Address | Cupertino, CA 95014 |
Second Address | Cupertino, CA 95014-3007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 08/07/2007 |