NPI | 1457604613 |
---|---|
Entity Type | Organization |
Authorized Contact | PINNAMANENI RAMAKRISHNA PRASAD Managing Partner 313-389-0648 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
2085R0204X Radiology, Vascular & Interventional Radiology | |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |