NPI | 1518053503 |
---|---|
Other Name | ISMAEL INCLAN GUERRERO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 21545) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 21545) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2024-09-26 |