| NPI | 1740967728 |
|---|---|
| Former Name | ALFREDO LUIS VARGAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2324514) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |