NPI | 1811692700 |
---|---|
Professional Name | MIKE DACRE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 14236) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-31 |
Last Update Date | 2024-06-20 |