NPI | 1568853760 |
---|---|
Other Name | LUIS S VILELLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ND 9273) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2005-0853) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2019-12-31 |