| NPI | 1174566566 |
|---|---|
| Other Name | WALTER RANDOLPH MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G55146) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: CA G55146) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-02-28 |