| NPI | 1578335964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP MOHAN Authorized Official 210-566-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |