| NPI | 1770877029 |
|---|---|
| Other Name | JUAN C ROA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R4461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19579) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-06-03 |