| NPI | 1609180249 |
|---|---|
| Former Name | JOSE ANTONIO SANTIAGO PEREZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL TEM-COV19-20639) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ACN485) |
| 208D00000X General Practice (Licence: FL ACN485) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2024-02-22 |