| NPI | 1235456757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN R PETRO Sole Member 202-309-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DC MD30329) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |