NPI | 1326252560 |
---|---|
Professional Name | RICCARDO H GONZALES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 131) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 131) |
224P00000X Prosthetist (Licence: TX CP001022) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |