| NPI | 1508155664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTHMAN CAVALLO President 5742-733-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |