| NPI | 1093456055 |
|---|---|
| Former Name | ERNESTO RENE AGUILAR INFANTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN34403) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1579) |
| 208D00000X General Practice (Licence: MN 75252) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-12-06 |