| NPI | 1821136219 |
|---|---|
| Other Name | MIKE BAUER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 7572) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 58295) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-06-06 |