NPI | 1235692815 |
---|---|
Former Name | GERMAN YANES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN1646) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 024038) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-10-23 |