| NPI | 1013185230 |
|---|---|
| Former Name | JOSE A MONTALVO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME135473) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PR 16635) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A99902) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-06-20 |