| NPI | 1013145382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BROOK Member 415-516-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 215672-1) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-07-17 |