| NPI | 1386842342 |
|---|---|
| Other Name | HECTOR LUIS LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 15129) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN 200) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |