| NPI | 1699794594 |
|---|---|
| Former Name | JOSE WILLIAM DECHAVEZ CONVALECER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA c54615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 28919) |
| 208M00000X Hospitalist (Licence: UT 7256117-1205) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-10-12 |