| NPI | 1275067803 |
|---|---|
| Other Name | JAVIER ENRIQUE RODRIGUEZ DE JESUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11263800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-05-05 |