| NPI | 1508276080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY K SETH Chief Executive Officer 234-209-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2015-02-02 |