| NPI | 1467697391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRJO JUISAI President 219-836-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01039013A) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2009-03-12 |