NPI | 1427464155 |
---|---|
Other Name | CLAY MICHAEL MERRITT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NC 2024-02938) |
Additional Taxonomies | 208600000X Surgery (Licence: TX S6689) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2024-10-23 |