| NPI | 1245739820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD ASSOMULL President 424-241-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-10-31 |