NPI | 1174210108 |
---|---|
Other Name | LUIS JAVIER CARBAJAL ARRUE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4598) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL PR797) |
Enumeration Date | 2023-04-19 |
Last Update Date | 2025-02-05 |