| NPI | 1548626294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDAN ALOYSIUS RANEY President 949-612-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA 3783857) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |