NPI | 1093912172 |
---|---|
Former Name | BERNARDO JOSE REYES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME 120914) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 24140) |
207R00000X Internal Medicine (Licence: WV 24140) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2014-10-31 |