| NPI | 1295783637 |
|---|---|
| Other Name | BOB R CARLSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K3890) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 5647) |
| 208600000X Surgery (Licence: SD 10187) | |
| 208600000X Surgery (Licence: IA 33347) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-10-01 |