| NPI | 1366916231 |
|---|---|
| Former Name | UBALDO A MIRANDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME147214) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL HSE27900) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-11-20 |