| NPI | 1184930992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEROSIMO Owner/ Provider 843-722-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-09-01 |