| NPI | 1164182473 |
|---|---|
| Former Name | ADRIAN ALEXIS DIAZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 67058) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NM 67058) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0997231) | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2023-12-18 |