| NPI | 1992919104 |
|---|---|
| Other Name | JOSE V BRICENO MENDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301091019) |
| 207Q00000X Family Medicine (Licence: FL ME106477) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-06-09 |