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 |