Individual
DR. HUSSAM A YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS015126
PA
2084V0102X
Vascular Neurology Physician
OS015126
PA
Other
Enumeration date
06/21/2007
Last updated
01/03/2020
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