Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 000000G84077 | CA |
NPI | 1023198181 |
---|---|
Provider Name | Neal Hermanowicz |
First Address | Palm Springs, CA 92262-4876 |
Second Address | Palm Springs, CA 92262-4876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 15/01/2019 |