| NPI | 1437695053 |
|---|---|
| Former Name | OTTO JOSE MONTERO PINA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: FL 36775) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: FL 13-426) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2023-06-29 |