| NPI | 1578204566 |
|---|---|
| Other Name | JORGE ENRIQUE MACIAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1073650) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1073650) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1073650) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-10-03 |