NPI | 1336208701 |
---|---|
Professional Name | DOUGLAS G MAC NEIL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 054569-23-03) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-07-08 |