NPI | 1093252256 |
---|---|
Entity Type | Organization |
Authorized Contact | NSIKAK JARLATH UMOH Owner 832-663-0037 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX Q5591) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2024-10-15 |