| NPI | 1194952408 |
|---|---|
| Other Name | ROQUE MIRAMONTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16051) |
| 363A00000X Physician Assistant (Licence: WA PA10004457) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |