NPI | 1437619566 |
---|---|
Former Name | RICARDO ANTONIO PINEDA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152403) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-24 |
Last Update Date | 2022-09-02 |