| NPI | 1851828420 |
|---|---|
| Former Name | JESUS ORLANDO VILLAMIZAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 314156) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213261) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-05-20 |