| NPI | 1235380007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J SOS Owner 480-220-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51955) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2017-03-10 |