| NPI | 1235692815 |
|---|---|
| Former Name | GERMAN YANES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 102889) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 024038) |
| 207Q00000X Family Medicine (Licence: FL 1646) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-01-20 |