NPI | 1417980889 |
---|---|
Entity Type | Organization |
Authorized Contact | LUKE BRYANT President 800-434-6070 |
Organization Subpart ? | No |
Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-12-14 |