| NPI | 1164773560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNIMA SHARMA Office Manager 602-330-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: AZ 22286) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |