| NPI | 1598129173 |
|---|---|
| Former Name | HUGO VLADIMIR JIMENEZ VAZQUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1412) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 11-133) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-03-21 |