NPI | 1104171776 |
---|---|
Doing Business As | CARDIOVASCULAR THORACIC SURGERY |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2012-11-27 |