| NPI | 1881196335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIT DESAI CEO 813-530-5043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-09-29 |