| NPI | 1154327393 |
|---|---|
| Other Name | JACK BROCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME41814) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2021-09-10 |