NPI | 1528359304 |
---|---|
Entity Type | Organization |
Authorized Contact | PETAR VUKASIN Owner 818-244-8161 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G74237) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G74237) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2011-04-27 |