NPI | 1083823637 |
---|---|
Former Name | JORGE LUIS JAVIER MUNOZ VEGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 46881) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 46881) |
207R00000X Internal Medicine (Licence: MI 4301085405) | |
207R00000X Internal Medicine (Licence: TX P1369) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-09-09 |