| NPI | 1164037289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Manager 818-262-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 2471V0106X Radiologic Technologist Vascular-Interventional Technology |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-10-05 |