| NPI | 1144479007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER K PONS Member 305-696-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-17 |