| NPI | 1396057733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASH PAL SANGWAN President 904-261-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME78773) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: FL ME78773) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-28 |