| NPI | 1225049547 |
|---|---|
| Professional Name | AMAURY A ROMAN MIRANDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 5872) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 057659) |
| 208D00000X General Practice (Licence: MI 4301087098) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-06-30 |