NPI | 1003070780 |
---|---|
Professional Name | JERALD PAUL FLYNN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 7109) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL17668) |
207Q00000X Family Medicine (Licence: CO 52680) | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2021-06-28 |