| NPI | 1124514757 |
|---|---|
| Former Name | RALPH ANDREW ROMAN BERMEJO TAMAYO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5370) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: NC 5370) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-11-12 |