| NPI | 1053733915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ICKOWSKI CFO 716-514-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |