| NPI | 1366507006 |
|---|---|
| Former Name | IVAN JOSE CORTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 9935) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 9935) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2015-10-14 |