| NPI | 1669960365 |
|---|---|
| Former Name | JOSHUA MICHAEL WALLENTIN-FLORES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 73668) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MS 31485) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 68056) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-09-24 |