NPI | 1114437407 |
---|---|
Former Name | YORDAN BORREGO GARCIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 17-535) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-10-02 |