Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | JA031111 | MI |
NPI | 1023161569 |
---|---|
Provider Name | Jaime V Aragones |
First Address | Rochester, MI 48307-1938 |
Second Address | Rochester, MI 48307-1938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 11/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B45750 | (02) | MI |