Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57.027856 | OH |
N | 111NI0900X | Internist | 57.027856 | OH |
Y | 207RP1001X | Pulmonary Disease | 65567 | MN |
NPI | 1013460500 |
---|---|
Provider Name | Bilal Samhouri |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2016 |
Last Update Date | 06/08/2020 |