NPI | 1538391669 |
---|---|
Former Name | ERNESTO R OTERO LOPEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2015-0089) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PR 18560) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2015-05-19 |