NPI | 1710603907 |
---|---|
Entity Type | Organization |
Authorized Contact | AMR EL-SERGANY CEO 509-215-5946 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 207P00000X Emergency Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-10-18 |
Last Update Date | 2024-05-26 |