| NPI | 1356446512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIOUSH KAVOUSPOUR Partner 409-899-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-09-19 |