NPI | 1417023060 |
---|---|
Other Name | GEORGE GARY STRETCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000267) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 181-000166) |
208VP0000X Pain Medicine, Pain Medicine (Licence: NM 0002) | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2007-07-08 |