NPI | 1164502845 |
---|---|
Former Name | ARNALDO LUIS DE LA VEGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL 101292) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 101292) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2023-07-27 |