| NPI | 1770807885 |
|---|---|
| Former Name | NICHOLAS J SANCHEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02003886A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2015-07-01 |