| NPI | 1790103489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIE PSHIGODA Csfa 918-808-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OK 117717) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |