| NPI | 1538238480 |
|---|---|
| Former Name | JOSEPH A DIAZ BARRIENTOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN759) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14288) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-03-14 |