| NPI | 1174552269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINDRA N MITRUKA Physician Partner 760-568-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G84058) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-10-31 |