NPI | 1336679570 |
---|---|
Other Name | CHRISTIAN ELOY EKLEOV RENDON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 711021) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2017-06-19 |