Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 213758 | NY |
Y | 111NI0900X | Internist | 213758 | NY |
N | 207RH0000X | Hematologist | 213758 | NY |
NPI | 1083043814 |
---|---|
Provider Name | Robert George Westphal |
First Address | Slingerlands, NY 12159 |
Second Address | Slingerlands, NY 12159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2013 |
Last Update Date | 02/11/2013 |