| NPI | 1780779371 |
|---|---|
| Former Name | MARIA NELLIE BETANCOURT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G71771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G71771) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA G71771) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-09-29 |