NPI | 1043457195 |
---|---|
Former Name | VICENTE PALERACIO ANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0015068) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0015068) |
Enumeration Date | 2009-01-12 |
Last Update Date | 2009-01-12 |