| NPI | 1841539566 |
|---|---|
| Other Name | ALFRED WALTER NUTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 27882) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 12575) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2016-05-03 |