| NPI | 1982086575 |
|---|---|
| Former Name | LINELL PATRICIA GRZESIK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO3354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP60948613) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-06-06 |