Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | F5670 | CA |
NPI | 1083996680 |
---|---|
Provider Name | Ramon Navarro Balbuena |
First Address | Palo Alto, CA 94301-2135 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2011 |
Last Update Date | 05/10/2011 |