NPI | 1861937575 |
---|---|
Former Name | ANEURY A. DIAZ MARTINEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NY 16-788) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-23 |