| NPI | 1306034160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATOSHI IKEDA Doctor 410-392-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C100000901) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-10-24 |