| NPI | 1104201128 |
|---|---|
| Other Name | DAVID ALEXANDER CEVALLOS TOALA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140399) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 13820-I) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2020-09-02 |