| NPI | 1386901817 |
|---|---|
| Former Name | RAUL ANTONIO VILLACRESES RADA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-42381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42381) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-12-30 |