| NPI | 1811587132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Manager 818-262-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0106X Radiologic Technologist Vascular-Interventional Technology |
| Additional Taxonomies | 2471C1101X Radiologic Technologist Cardiovascular-Interventional Technology |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |