| NPI | 1326328725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADALBERTO C GONZALEZ CEO 623-399-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 12521) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 12521) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |