NPI | 1992780738 |
---|---|
Other Name | TREY MITCHELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M2717) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 21758) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX M2717) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2022-09-06 |