| NPI | 1275533275 |
|---|---|
| Other Name | JOSE ANTONIO MALDONADO VARGAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 73239) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 14572) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2025-02-11 |