NPI | 1265846539 |
---|---|
Former Name | DIANA BACAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS020906) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09987200) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2023-02-01 |