| NPI | 1306282926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH Q KHANH Chief Medical Officer 855-830-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2024-04-30 |