NPI | 1386265288 |
---|---|
Other Name | VICTOR MACIAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 325202) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 325202) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-05-01 |
Last Update Date | 2024-05-31 |