NPI | 1093979783 |
---|---|
Other Name | MICHAEL VICTORINO F MEDINA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME105786) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT187464) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2014-08-13 |