NPI | 1750510798 |
---|---|
Other Name | S TROY RACHAEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME170152) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 46904) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2025-01-09 |