NPI | 1942206164 |
---|---|
Other Name | DANA R TYRRELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD067294L) |
Additional Taxonomies | 208600000X Surgery (Licence: KY 36274) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2023-08-24 |