| NPI | 1285148486 |
|---|---|
| Former Name | ANDREW R JAUREGUI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006449) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0006234) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-10-28 |