| NPI | 1578186235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RIZZO Do 697-502-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-08-08 |