| NPI | 1720228273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KATSNELSON Owner 262-877-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A106254) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2011-05-27 |