| NPI | 1457910416 |
|---|---|
| Other Name | GEORDIE HACKETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AZ 000348) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |