| NPI | 1952669640 |
|---|---|
| Former Name | FERNANDO JOSE FUENTES ALFARO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 21144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35125090) |
| 207Q00000X Family Medicine (Licence: NV 21144) | |
| 207R00000X Internal Medicine (Licence: OH 35125090) | |
| 207R00000X Internal Medicine (Licence: NV 21144) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 21144) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-08-04 |