| NPI | 1679533756 |
|---|---|
| Former Name | JOSE RICARDO CRISOSTOMO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0067681) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME89846) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-01-05 |