NPI | 1336708478 |
---|---|
Former Name | RAMIRO RODRIGUEZ GONZALEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1216) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 14919-I) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2020-09-10 |