NPI | 1457355372 |
---|---|
Other Name | W MARK BREITE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 075585) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 106261) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX G9264) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01038424A) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2019-01-28 |