Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101029723 | VA |
Y | 207RP1001X | Pulmonary Disease | 0101029723 | VA |
NPI | 1053343905 |
---|---|
Provider Name | Richard George Robinson |
First Address | Woodbridge, VA 22191-3300 |
Second Address | Woodbridge, VA 22191-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 21/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6096522 | (05) | VA |
B06635 | (02) | VA |