| NPI | 1093027005 |
|---|---|
| Former Name | JORGE AUGUSTO VILLAR CORTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 119821) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |