| NPI | 1144433434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL VACLAV PETRIK CEO 661-945-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G74861) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A35504) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-01-03 |