NPI | 1598102113 |
---|---|
Former Name | EDGAR NUNEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME131213) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131213) |
207R00000X Internal Medicine (Licence: PA MD458496) | |
207R00000X Internal Medicine (Licence: PA MT203516) | |
Enumeration Date | 2013-05-23 |
Last Update Date | 2022-08-10 |