| NPI | 1851703219 |
|---|---|
| Former Name | EMANUEL NAZARIO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME130331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R2183) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-05-09 |