| NPI | 1023262995 |
|---|---|
| Other Name | JAKE NATHANAEL MARTINEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OR 104266) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |