| NPI | 1427163492 |
|---|---|
| Other Name | TERENCE MICHAEL GROGAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005401A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017356) |
| 207Q00000X Family Medicine (Licence: WI 48857) | |
| 207Q00000X Family Medicine (Licence: VA 102050142) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-20 |