| NPI | 1073770954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PAW Owner 661-327-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G068451) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |