NPI | 1538603857 |
---|---|
Former Name | FELIX MIGUEL ZEQUEIRA DE LA HORRA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00618) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2023-08-02 |