NPI | 1083049282 |
---|---|
Former Name | SANTIAGO WER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09989100) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-09-06 |
Last Update Date | 2022-09-29 |