| NPI | 1508313701 |
|---|---|
| Other Name | CARLOS OMAR ACEVEDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01089473A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 4956520) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2023-07-19 |