| NPI | 1801873492 |
|---|---|
| Former Name | EDUARDO A VIDES-LEMUS LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR OR-MD27304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00038051) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-12-29 |