| NPI | 1902847411 |
|---|---|
| Professional Name | JORGE EFRAIN FREIRE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NJ 25MA07672800) |
| Additional Taxonomies | 2085R0001X (Licence: PA MD039543L) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-08-30 |