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 |