| 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 |