| NPI | 1043210016 |
|---|---|
| Other Name | JORGE ENRIQUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A49936) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 25118) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2025-04-15 |