| NPI | 1043481419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S BASSETT Owner 313-982-5533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301024794) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2013-01-03 |