| NPI | 1003321829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD PERKOWSKI Managing Member 225-532-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA 023188) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-01-21 |