| NPI | 1043457872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W HUANG Practicioner 619-421-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A74711) |
| Additional Taxonomies | 2086S0129X (Licence: CA A74711) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2018-03-17 |