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 |