| NPI | 1225136351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN F EWY Member 520-888-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-10-22 |