| NPI | 1467289884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SALLOUM CEO 619-616-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |