| NPI | 1316054737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEV GNANADEV President 909-580-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| 208200000X Plastic Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 2086S0102X Surgery Surgical Critical Care | |
| 2086S0127X Surgery Trauma Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-04-25 |