| NPI | 1669478970 |
|---|---|
| Former Name | THOMAS PATRICK KERNAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R6J90) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: MO R6J90) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-09-01 |