| NPI | 1508075409 |
|---|---|
| Other Name | JONNY A MACIAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 52098-020) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 52098-020) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-11-24 |