| NPI | 1285336867 |
|---|---|
| Former Name | CARLOS GENARO VELARDE GONZALES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML61426209) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-06-27 |