| NPI | 1548464993 |
|---|---|
| Other Name | FREDY H CORDOVA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-10275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD204318) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2017-02-09 |