NPI | 1871989665 |
---|---|
Former Name | RAFAEL VILLARREAL-CALDERON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 66821-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 5716-851) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2020-11-23 |