NPI | 1982121059 |
---|---|
Other Name | SALVADOR MIRELES THORN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11074) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-08-29 |
Last Update Date | 2024-12-10 |