NPI | 1770004954 |
---|---|
Former Name | MICHAEL SHENEFIELD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005461A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11019293A) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2020-11-10 |