NPI | 1043398605 |
---|---|
Other Name | CODY GUNN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 026538) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 026538) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-10-19 |