| NPI | 1407402506 |
|---|---|
| Professional Name | MITCHELL IRA BURKEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MD D0031869) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD d0031869) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-07-13 |