| NPI | 1992935951 | 
|---|---|
| Other Name | FERNANDO ALFREDO BOLANOS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q3338) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q3338) | 
| Enumeration Date | 2009-07-23 | 
| Last Update Date | 2021-12-03 |