| NPI | 1588144299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLEOWELL GARCIA Sole Member 440-835-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35-093280) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-03-18 |