NPI | 1780619601 |
---|---|
Professional Name | GERALD PETER MCMANAMA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X (Licence: OR MD160341) |
Additional Taxonomies | 2086S0129X (Licence: MO r7h29) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2017-04-14 |