| NPI | 1568450138 |
|---|---|
| Professional Name | BRUCE DONALD MISARE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 66343-220) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 11674) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2017-12-10 |