| NPI | 1407944192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANS HASSAN MOOSA President 618-233-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036073250) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |