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 |