| NPI | 1679617153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMKAR N TIKU President 575-445-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM 76-109) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM 76-108) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-29 |