Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME98043 | FL |
NPI | 1023141371 |
---|---|
Provider Name | Joseph Wehman |
First Address | Orlando, FL 32806-1114 |
Second Address | Orlando, FL 32806-1114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 06/09/2019 |