| NPI | 1679745368 |
|---|---|
| Former Name | JUAN MANUEL REY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 44328) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 44328) |
| 207R00000X Internal Medicine (Licence: KY 44328) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2021-02-09 |