| NPI | 1164818084 |
|---|---|
| Former Name | PATRICK MICHAEL O'LEARY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 34.013158) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KS 05-41053) |
| 208D00000X General Practice (Licence: OH 34.013158) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-09-28 |