| NPI | 1982743589 |
|---|---|
| Former Name | ORLANDO E. LEIVA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN366) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN 366) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-01-29 |