ENRIQUE GONGORA

BIRMINGHAM, AL
NPI1891704128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: AL  37800)
Enumeration Date2006-08-05
Last Update Date2024-02-01
Business Address
ENRIQUE GONGORA MD
619 19TH ST S
BIRMINGHAM, AL 35249
Phone number: 205-934-4011
Mailing Address
ENRIQUE GONGORA MD
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: