| NPI | 1154773463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN GHAZOUL Owner 602-708-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 18744) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |