NPI | 1326031295 |
---|---|
Other Name | MATT MURDOCK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11007065) |
Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: FL 14489) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2024-05-15 |