| NPI | 1669960365 |
|---|---|
| Former Name | JOSHUA MICHAEL WALLENTIN-FLORES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 68056) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MS 31485) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-08-01 |