| NPI | 1912459348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHAD MANSOURI President 716-523-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |