NPI | 1407004369 |
---|---|
Former Name | GLORIA BUGNOT JOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066625A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249881) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01066625A) | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01066625A) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2021-01-26 |