| NPI | 1356339881 |
|---|---|
| Former Name | PEDRO ENRIQUE ARIAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16078) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16079) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-01-22 |