Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD14915 | LA |
N | 207KA0200X | Allergist | ME0092763 | FL |
NPI | 1164482725 |
---|---|
Provider Name | David A Kaufman |
First Address | Shreveport, LA 71106-7231 |
Second Address | Shreveport, LA 71106-7231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 22/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272630100 | (05) | FL |
I34571 | (02) | FL |