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 | 2024-05-28 |