Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 77-53 | NM |
NPI | 1538175286 |
---|---|
Provider Name | Robert W Katz |
First Address | Albuquerque, NM 87120-6020 |
Second Address | Albuquerque, NM 87120-6020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 15/12/2014 |