| NPI | 1790893204 |
|---|---|
| Other Name | SOUTHEAST-S.A.TUMOR & BLOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID H GORDON President 210-545-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-05-26 |