NPI | 1275951048 |
---|---|
Other Name | LUI DE LEON CALEON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: LA 320798) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-03-31 |
Last Update Date | 2019-11-12 |