| NPI | 1417226408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS EDWARD SHAFII Member 813-933-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME93623) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |