| NPI | 1184262461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA L AQUINO CEO 415-378-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |