NPI | 1740451517 |
---|---|
Former Name | MANUEL ARTURO ESTRADA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0753) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX N0753) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2019-05-16 |