NPI | 1154577856 |
---|---|
Other Name | BUDDY DREW MCCARTHY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MT 87187) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: OH 34.011728) |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: KS 05-39569) | |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO DR0052455) | |
Enumeration Date | 2008-08-13 |
Last Update Date | 2024-09-05 |