| NPI | 1356344063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJSEKHAR DEVINENI Primary Physician 814-534-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD038892E) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |