NPI | 1750390506 |
---|---|
Former Name | JUAN EUGENIO TODD M GONZALEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-02013) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 19456) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2024-08-05 |