Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 010303 | LA |
NPI | 1023026879 |
---|---|
Provider Name | Robert L Applebaum |
First Address | Marrero, LA 70072 |
Second Address | New Orleans, LA 70115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 22/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1130869 | (05) | LA |
B62526 | (02) |