| NPI | 1023641099 |
|---|---|
| Former Name | MIGUEL ANGEL MELENDEZ VITALI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026358) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |