| NPI | 1093964819 |
|---|---|
| Other Name | GUALBERTO OQUENDO-ROMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME114521) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 114521) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PR 18433) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2018-03-17 |