NPI | 1063947638 |
---|---|
Entity Type | Organization |
Authorized Contact | YURY GAMPEL Manager 818-880-8605 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
Additional Taxonomies | 207Q00000X Family Medicine |
207RC0000X Internal Medicine Cardiovascular Disease | |
207RI0011X Internal Medicine Interventional Cardiology | |
213E00000X Podiatrist | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2018-07-11 |