Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4436 | IA |
N | 111NI0900X | Internist | 4436 | IA |
N | 207R00000X | Internist | 5101017416 | MI |
N | 111NI0900X | Internist | 5101017416 | MI |
Y | 207RG0100X | Gastroenterologist | E-9914 | AR |
NPI | 1023205002 |
---|---|
Provider Name | David R Sosnoff |
First Address | Little Rock, AR 72211-4393 |
Second Address | Little Rock, AR 72205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 15/05/2018 |