| NPI | 1417685983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWENA YABUT Manager 702-258-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2026-08-25 |