| NPI | 1346369287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO VASQUEZ President 812-336-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01062063A) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-12-10 |