| NPI | 1932150182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM SEUNGHAE AHN Owner 214-946-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX F1333) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-12-20 |