NPI | 1477826824 |
---|---|
Former Name | AMADO SAAD DE LA TORRE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN870) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 19423) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2024-08-14 |