NPI | 1184189920 |
---|---|
Former Name | XAVIER ENRIQUE PALACIOS ALVARADO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65565) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21173) |
208D00000X General Practice (Licence: PR 21173) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-02-06 |
Last Update Date | 2022-07-20 |