| NPI | 1053029835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C KWON Manager 928-208-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |