| NPI | 1083722201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR H GRANDAS President 865-544-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 38851) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-03-25 |