| NPI | 1992737373 |
|---|---|
| Other Name | JOSE LUIS MEJIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD470212) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 40571) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-06-22 |