| NPI | 1386961530 |
|---|---|
| Former Name | LUIS D BAEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PR 021207) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: SC 39583) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2019-08-08 |