Individual
DR. FERNANDO LUIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01060971A
IN
208800000X
Urology Physician
Primary
036-083284
IL
208800000X
Urology Physician
MD2012-0231
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200527960
—
IN
Enumeration date
10/28/2005
Last updated
12/15/2022
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