| NPI | 1104068972 |
|---|---|
| Former Name | MICHAEL LOUIS GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: GA 071501) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-07-12 |