NPI | 1063808749 |
---|---|
Former Name | CRAIG BLEAKNEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 56383) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 30394) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 73693) | |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 67158) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-07-29 |