NPI | 1184618225 |
---|---|
Entity Type | Organization |
Authorized Contact | MEHDI A MARVASTI Owner 315-422-4422 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2020-08-22 |