| NPI | 1578803631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDERICO GONZALEZ-DOLDAN Owner 716-693-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 117488) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 117488) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |