NPI | 1225685563 |
---|---|
Former Name | ALEJANDRO LEONEL AVILA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 184335) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-09-24 |