| NPI | 1851933170 |
|---|---|
| Former Name | ANDRES EDUARDO GOMEZ VARGAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: GA 19-413) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-04-05 |