| NPI | 1750771556 |
|---|---|
| Former Name | FERNANDO DORREGO BENITEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 148723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52620) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2022-12-07 |