| NPI | 1962696203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO LUQUE President 404-668-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-08-20 |