| NPI | 1083616916 |
|---|---|
| Former Name | BRADLEY NEAL SHIPMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2175) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX k2175) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-12-16 |