| NPI | 1780854596 |
|---|---|
| Other Name | OTTO R MEDINILLA MD FACS |
| Entity Type | Organization |
| Authorized Contact | OTTO RAUL MEDINILLA Owner 302-764-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DE C10001897) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-12-27 |