| NPI | 1033177902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB NAIM AZIZ President 818-401-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A66104) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A66104) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-06-18 |