| NPI | 1619076114 |
|---|---|
| Professional Name | N H SHANNON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D2834) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX D2834) |
| 208D00000X General Practice (Licence: TX D2834) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-12-03 |