| NPI | 1487814653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUTILYA A MEHTA President 405-232-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OK 12793) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |