| NPI | 1932109196 |
|---|---|
| Other Name | MANUEL R CARRASCO-SANTIAGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J5275) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: TX J5275) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2014-12-29 |