| NPI | 1063538072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMASH R PATEL Member 480-212-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 35096) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 35096) |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 35096) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: AZ 35096) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-03-31 |