| NPI | 1639304389 |
|---|---|
| Former Name | RENATO YAMBAO BERNARDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C168638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME112631) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2022-02-11 |