| NPI | 1275568735 |
|---|---|
| Former Name | MARK C PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OR MD18731) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OR MD18731) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-07 |