NPI | 1265458517 |
---|---|
Former Name | RAMIRO REYES GARCIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 11867) |
Additional Taxonomies | 208800000X Urology (Licence: AZ 11867) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2011-08-30 |