NPI | 1124327226 |
---|---|
Other Name | OWEN NINO VILLAGONZALO MUANA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 16046) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259838) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2014-07-21 |