| NPI | 1104639509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESHVANT NAVALGUND Chief Medical Officer 855-836-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |