NPI | 1457544702 |
---|---|
Other Name | WILFREDO EDDY BRAVO LLERENA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110036) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME110036) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2022-10-21 |