| NPI | 1750462081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN AMORUSO Sr VP Revenue 224-318-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 202K00000X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-11-01 |