| NPI | 1619074531 |
|---|---|
| Former Name | MARCIANO A BLANCO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101222303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101222303) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-29 |