NPI | 1578678744 |
---|---|
Former Name | ANGEL L SENQUIZ ORTIZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PR 5367) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 5367) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2016-12-28 |