| NPI | 1760445878 |
|---|---|
| Former Name | JUAN MANUEL PEREZ MENDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 5315028244) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 4696) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-01-20 |