NPI | 1457357535 |
---|---|
Professional Name | JUAN ANTONIO MANZANILLA DE GUZMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 179611) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 179611-1) |
208000000X Pediatrics (Licence: NY 179611) | |
Enumeration Date | 2005-06-23 |
Last Update Date | 2020-10-02 |