NPI | 1477016301 |
---|---|
Professional Name | MIKE BIRKHEAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MO 2022010637) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410106) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-08 |
Last Update Date | 2022-05-13 |