| NPI | 1326335548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES DEGRAFT-JOHNSON Physician/Owner 340-772-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME106359) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-21 |