NPI | 1689776593 |
---|---|
Former Name | MAMERTO VERZO GUINTO |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-053711) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-053711) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2013-02-22 |