| NPI | 1043413040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T. GRATTAN Sole Proprietor 808-522-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: HI MD 7469) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-12-11 |