| NPI | 1114322070 |
|---|---|
| Other Name | VICTOR MARIO PENAGOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL HSE 11988) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |