| NPI | 1902217789 |
|---|---|
| Other Name | MICHAEL JAMES SULLIVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R6112) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 66333) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-04-21 |