| NPI | 1487196424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LI Owner 260-418-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |