| NPI | 1669678272 |
|---|---|
| Former Name | ABELARDO MONTALVO ROMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301081207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 10268) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2025-09-11 |