| NPI | 1215962873 |
|---|---|
| Other Name | MAINOR R ANTILLON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 67158) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301106568) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-03 |