| NPI | 1447613534 |
|---|---|
| Other Name | MICHAEL W MCCORMICK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101274963) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2021-02057) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-12-29 |