NPI | 1407260862 |
---|---|
Other Name | TREY H BURCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-17085) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D88002) |
208D00000X General Practice (Licence: NE 29040) | |
Enumeration Date | 2014-06-13 |
Last Update Date | 2024-04-04 |