| NPI | 1871948760 |
|---|---|
| Former Name | JEISON DANILO RECINOS ALVARADO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A156178) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-12-26 |