| NPI | 1467262717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUNDO GONZALEZ Officer 754-200-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |