NPI | 1962439182 |
---|---|
Other Name | MIKE A PERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SD 7546) |
Additional Taxonomies | 208600000X Surgery (Licence: IA MD-36886) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2016-06-06 |