NPI | 1225358369 |
---|---|
Other Name | RICARDO G BOLANOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2010020453) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-10 |
Last Update Date | 2022-01-18 |