| NPI | 1689034654 |
|---|---|
| Professional Name | WALTER XAVIER ZAVALA-SALAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 019512-1) |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: NY 150625) |
| 363A00000X Physician Assistant (Licence: NY 23019512) | |
| 363AM0700X Physician Assistant Medical (Licence: NY 23019512) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-08-08 |