| NPI | 1225562622 |
|---|---|
| Professional Name | MICHAEL D GORDON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3011246) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2021-10-21 |