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 |