| NPI | 1548453343 |
|---|---|
| Former Name | JOSE RONEL NATIVIDAD SANTOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301084087) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-06-26 |