NPI | 1093350738 |
---|---|
Professional Name | RICARDO A HERNANDEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1301) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 021852) |
Enumeration Date | 2019-11-15 |
Last Update Date | 2021-09-17 |