NPI | 1043708324 |
---|---|
Former Name | ADRIAN HURTADO ACEVES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A17565) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CA 20A17565) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2024-12-02 |