| NPI | 1942457890 | 
|---|---|
| Former Name | JORGE G BILLOCH LIMA | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PR 18369) | 
| Enumeration Date | 2008-08-22 | 
| Last Update Date | 2020-01-29 |