| NPI | 1942696695 |
|---|---|
| Former Name | GUSTAVO ENRIQUE DURAND-HERNANDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9387321) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2017-03-20 |