| NPI | 1144410135 |
|---|---|
| Other Name | JESUS DIAZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01067757A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 31630) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-06-25 |