Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101025443 | VA |
Y | 207RP1001X | Pulmonary Disease | 0101025443 | VA |
NPI | 1053464412 |
---|---|
Provider Name | Dr. Pierre P Wolfe |
First Address | Rockville, MD 20852 |
Second Address | Fairfax, VA 22033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 06/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B05900 | (02) |