NPI | 1497062830 |
---|---|
Entity Type | Organization |
Authorized Contact | HUMAM BASSAM KAKISH Owner 469-547-1142 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX K0853) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2014-07-31 |