| NPI | 1396759015 |
|---|---|
| Former Name | JOSE A. AFONSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 151340) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD09500) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-06-20 |