NPI | 1861405508 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES PETER LAGO President For The Practice 954-236-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |