Individual
GUSTAVO LEOR
Active
Individual
GUSTAVO LEOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95105960
CA
207L00000X
Anesthesiology Physician
95002220
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1811497
AZ
Other
Enumeration date
07/31/2023
Last updated
10/14/2024
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