| NPI | 1417272477 |
|---|---|
| Former Name | ERIC JOEL VELAZQUEZ RIVERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 90057) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD459573) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2021-10-06 |