Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 201102 | LA |
NPI | 1023032422 |
---|---|
Provider Name | Robert Hinkle |
First Address | Baton Rouge, LA 70808-4326 |
Second Address | Baton Rouge, LA 70808-4326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 04/02/2011 |