NPI | 1194734954 |
---|---|
Other Name | RAFAEL ARMANDO PALACIOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103290) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX 04573) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2010-12-17 |