| NPI | 1043546351 |
|---|---|
| Other Name | AL SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 651322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01558) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2010-08-29 |