| NPI | 1467656157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR F SINGER Incorporator 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A92046) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A92236) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-03-27 |