| NPI | 1538514674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUKAT RASHID Director 567-225-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |