NPI | 1588879043 |
---|---|
Former Name | MICHAEL T KENNEDY, INC. |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA G13681) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA G13681) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2024-11-03 |