| NPI | 1902143811 |
|---|---|
| Former Name | SERGIO GIRALDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101256741) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2018-04-25 |