| 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 |