| NPI | 1497778047 |
|---|---|
| Other Name | MIKE GAINES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 9386) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 22762) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-01-15 |