| NPI | 1467997825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MIKHAIL CEO 940-597-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME95264) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2020-12-11 |