| NPI | 1275859290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GABRIEL CAMERO President 586-777-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301034441) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |