| NPI | 1508029323 |
|---|---|
| Other Name | LUIZ MAZZELLA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME110316) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 049824) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME110316) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-12-02 |