| NPI | 1225135346 |
|---|---|
| Former Name | FERNANDO JOSE ARZOLA COLLAZO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN552) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14074) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-05 |