| NPI | 1740364470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH GUPTA Owner 734-283-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-02-25 |