| 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 |