Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | R76198 | AZ |
NPI | 1023548005 |
---|---|
Provider Name | James Zhou |
First Address | Phoenix, AZ 85013 |
Second Address | Phoenix, AZ 85013-4409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2017 |
Last Update Date | 13/06/2017 |