| NPI | 1396448858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL JEAN-BAPTISTE Owner 917-208-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |