NPI | 1861788192 |
---|---|
Former Name | GENARO FRANCISCO VALLADOLID MUNGUIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01076801A) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.059987) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2016-08-06 |