NPI | 1891721213 |
---|---|
Other Name | MICHEAL BRENT SEAGLE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME21553) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2008-02-18 |