| NPI | 1174171441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Manager 818-880-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 2471V0106X Radiologic Technologist Vascular-Interventional Technology |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |