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 |