| NPI | 1992124903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIL WEITZMAN Md 7182-225-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |