| NPI | 1396998944 |
|---|---|
| Professional Name | WILSON IZQUIERDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME112185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A117127) |
| 208D00000X General Practice (Licence: PR 17291) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-12-07 |