| NPI | 1639203508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARISTOTLE A RABANAL Owner 304-623-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-11-06 |