Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 07507 | AZ |
NPI | 1427389303 |
---|---|
Provider Name | Jacob Louis Pinnas |
First Address | Tucson, AZ 85718-7434 |
Second Address | Tucson, AZ 85718-7434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2010 |
Last Update Date | 19/01/2010 |