NPI | 1417296997 |
---|---|
Other Name | L. ANTONE RAYMUNDO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD438899) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD438899) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2015-11-12 |