Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 0101038151 | VA |
NPI | 1023026895 |
---|---|
Provider Name | Robert Paul Holman |
First Address | Arlington, VA 22205-3601 |
Second Address | Arlington, VA 22205-3601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006055079 | (05) | VA |
E22133 | (02) |