NPI | 1831629831 |
---|---|
Former Name | LEOPOLDO MALDONADO GONZALEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 95759) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: GA 95759) |
208D00000X General Practice (Licence: PR 21115) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-09-13 |