NPI | 1700298528 |
---|---|
Former Name | VICTOR MANUEL ORELLANA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 85704) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030906) |
Enumeration Date | 2014-05-28 |
Last Update Date | 2020-10-13 |