NPI | 1720458599 |
---|---|
Professional Name | RICHARD MARK MERRILL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 9361765-4405) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: UT 9361765-4405) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2018-04-26 |