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 |