| NPI | 1003606872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GRECO Clinical Specialty Associates 223-341-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |