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 |