| NPI | 1376112573 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | SHARAD SHARMA Director 409-502-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |