NPI | 1851928121 |
---|---|
Other Name | JUAN FIDEL PENALOZA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A178289) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A178289) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A178289) | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-07-31 |