| NPI | 1538534227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR R RIVERO President 716-908-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 18790) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: PR 18790) |
| 208D00000X General Practice (Licence: PR 17234) | |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2020-08-24 |