NPI | 1285949735 |
---|---|
Former Name | JOAQUIN CARRAL GOMEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1014956) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53592) |
207R00000X Internal Medicine (Licence: NH 20246) | |
Enumeration Date | 2010-08-09 |
Last Update Date | 2023-10-17 |