NPI | 1376792879 |
---|---|
Former Name | JORGE ALEJANDRO CASTELLANOS GONZALEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 203988) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL TRN10892) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60834030) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 203988) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60834030) | |
Enumeration Date | 2008-09-09 |
Last Update Date | 2023-09-18 |