NPI | 1821736562 |
---|---|
Other Name | CARLOS RUBEN RUIZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 38414) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-05-23 |
Last Update Date | 2023-09-12 |