| NPI | 1598702276 |
|---|---|
| Other Name | LEONCIO J TACSA-CARRASCO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 186353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME72300) |
| 174400000X Specialist (Licence: FL ME72300) | |
| 208M00000X Hospitalist (Licence: FL ME72300) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-07-01 |