| NPI | 1538623384 |
|---|---|
| Other Name | CARLOS ANTONIO MIRANDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2021-05-11 |