| NPI | 1134159072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RAY Asst. Director PFS 336-538-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-11-02 |