| NPI | 1053821520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARCH MAQUILAN Owner 267-968-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |