| NPI | 1972221182 |
|---|---|
| Other Name | ENDOVASCULAR |
| Entity Type | Organization |
| Authorized Contact | KIUP ALEXANDER KIM Chief Medical Officer 480-584-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-08 |