NPI | 1144629460 |
---|---|
Entity Type | Organization |
Authorized Contact | KHUSHAL PATL Owner 773-672-2553 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.124097) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2014-08-22 |