NPI | 1023637493 |
---|---|
Other Name | DALVERT HUGO POLANCO TRONCOSO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 37121-R) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 36596-R) |
208D00000X General Practice (Licence: NY P101496) | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-09-01 |