NPI | 1023202736 |
---|---|
Doing Business As | TRI LAKES PULMONOLOGY |
Entity Type | Organization |
Authorized Contact | MOHAMED BAKRY Physician 417-230-8070 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2005015440) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2005015440) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2008-05-29 |