| NPI | 1972594497 |
|---|---|
| Former Name | HENRY BALLESTEROS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 039969) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-11-07 |